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1720368798
TYLER REX CLARK
DURANT, OK
NPI
1720368798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-23
Last Update Date
2011-08-23
Business Address
Mr. TYLER REX CLARK
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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Mailing Address
Mr. TYLER REX CLARK
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
Copy
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