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1700334398
ROYA CLUCK
KINGSTON, OK
NPI
1700334398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-13
Last Update Date
2016-09-14
Business Address
-- ROYA CLUCK RN
16997 STONE BRIAR RD
KINGSTON, OK 73439-7505
Phone number: 580-564-5811
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Mailing Address
-- ROYA CLUCK RN
16997 STONE BRIAR RD
KINGSTON, OK 73439-7505
Phone number: 580-564-5811
Copy
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