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1679710479
REGINA K CLARK
OKLAHOMA CITY, OK
NPI
1679710479
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Former Name
REGINA K YOUNG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0070771)
Enumeration Date
2009-01-15
Last Update Date
2011-01-18
Business Address
-- REGINA K CLARK CPNP
1200 N PHILLIPS AVE SUITE 9500
OKLAHOMA CITY, OK 73104-4600
Phone number: 405-271-6549
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Mailing Address
-- REGINA K CLARK CPNP
1122 NE 13TH ST ORI 236
OKLAHOMA CITY, OK 73117-1039
Phone number:
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