Halie Clark

NPI #1770047177 in Mangum, Oklahoma

Provider Information

NPI Number
1770047177
Entity Type
Individual
Name
Halie Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Jan 30, 2019
Last Updated
Jan 30, 2019

Practice Location

Address
201 W MADISON ST
City
Mangum
ZIP Code
73554-1811
Phone
(580) 782-2703

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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