Madison Jade Clark
Madison Jade Clark is a Student in an Organized Health Care Education/Training Program in Wilburton, Oklahoma. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
116 E Main St Ste BWilburton, OK 74578-4230
Phone: (918) 407-2662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1003506361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 10, 2023 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | May 10, 2023 |
| Mailing address | Po Box 58, Red Oak, OK 74563-0058 |