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1679285811
LAWRENCE CLAYTON LEWALLEN
TULSA, OK
NPI
1679285811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
LAWRENCE CLAYTON LEWALLEN
1214 S BALTIMORE AVE
TULSA, OK 74119-2804
Phone number: 918-779-7203
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Mailing Address
LAWRENCE CLAYTON LEWALLEN
1214 S BALTIMORE AVE
TULSA, OK 74119-2804
Phone number: 918-779-7203
Copy
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