JACKIE HAROLD CLARK

BROKEN ARROW, OK
NPI1790769065
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OK  1129)
Enumeration Date2005-12-01
Last Update Date2011-06-10
Business Address
Dr. JACKIE HAROLD CLARK O.D.
1805 N 13TH ST
BROKEN ARROW, OK 74012-8256
Phone number: 918-872-1833
Mailing Address
Dr. JACKIE HAROLD CLARK O.D.
1805 N 13TH ST
BROKEN ARROW, OK 74012-8256
Phone number: 918-872-1833
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