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1720413438
DOMINIQUE RENAE CLARKE
TULSA, OK
NPI
1720413438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
-- DOMINIQUE RENAE CLARKE BS
102 N DENVER AVE
TULSA, OK 74103-1806
Phone number: 918-582-1200
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Mailing Address
-- DOMINIQUE RENAE CLARKE BS
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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