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1821627167
LAUREN D'ANN CLARK
EDMOND, OK
NPI
1821627167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OK R0100056)
Enumeration Date
2020-04-08
Last Update Date
2022-12-29
Business Address
LAUREN D'ANN CLARK NP
105 S BRYANT AVE STE 101
EDMOND, OK 73034-6330
Phone number: 405-823-0094
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Mailing Address
LAUREN D'ANN CLARK NP
3305 RED MAPLE LN
MOORE, OK 73170-1025
Phone number: 405-823-0094
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