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1871000877
TINA MARIE CLARK
IDABEL, OK
NPI
1871000877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-12-29
Last Update Date
2017-12-29
Business Address
TINA MARIE CLARK FSP
411 S CENTRAL AVE
IDABEL, OK 74745-6059
Phone number: 580-286-5045
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Mailing Address
TINA MARIE CLARK FSP
PO BOX 1030
ANTLERS, OK 74523-1030
Phone number: 580-298-2830
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