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1760765374
VICKIE DIANE CLARK
MIDWEST CITY, OK
NPI
1760765374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- VICKIE DIANE CLARK
10905 NE 10TH ST
MIDWEST CITY, OK 73130-2209
Phone number: 918-791-1995
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Mailing Address
-- VICKIE DIANE CLARK
10905 NW 10TH ST.
MIDWEST CITY, OK 74344
Phone number: 918-791-1995
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