REGINA K CLARK

OKLAHOMA CITY, OK
NPI1679710479
Former NameREGINA K YOUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  R0070771)
Enumeration Date2009-01-15
Last Update Date2011-01-18
Business Address
-- REGINA K CLARK CPNP
1200 N PHILLIPS AVE SUITE 9500
OKLAHOMA CITY, OK 73104-4600
Phone number: 405-271-6549
Mailing Address
-- REGINA K CLARK CPNP
1122 NE 13TH ST ORI 236
OKLAHOMA CITY, OK 73117-1039
Phone number: