JACK ALAN CLARK

TULSA, OK
NPI1669287801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-02-12
Last Update Date2025-02-12
Business Address
JACK ALAN CLARK
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 620-704-6570
Mailing Address
JACK ALAN CLARK
245 S 250TH ST
PITTSBURG, KS 66762-8531
Phone number: 620-704-6570
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