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1871100255
RACHEL LOUISE CLARK
SHAWNEE, OK
NPI
1871100255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 60894)
Enumeration Date
2020-09-29
Last Update Date
2020-09-29
Business Address
RACHEL LOUISE CLARK
781 GRAND CASINO BLVD
SHAWNEE, OK 74804-1005
Phone number: 405-964-5770
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Mailing Address
RACHEL LOUISE CLARK
781 GRAND CASINO BLVD
SHAWNEE, OK 74804-1005
Phone number: 405-964-5770
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