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Ebonye Clark
NPI 1962998062 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1704 Center Dr Apt 2
Midwest City, OK 73110 - Phone
- (405) 679-7979
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Sex
- Female
- Record last updated
- 2018-07-02
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