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Search › Oklahoma › 101YA0400X

Clayton Cooper

NPI 1942545991 · on the registry since 2012 · sole proprietor

Practice

Address
801 E Main St
Tishomingo, OK 73460
Phone
(580) 371-3776
Fax
(580) 371-2056
Organisation at this address
Pennington Creek Lifehouse
Pennington Creek Life House
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2012-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma