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1003948597
KELLE R CHRISTIANSON
MIDWEST CITY, OK
NPI
1003948597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1551)
Enumeration Date
2007-03-10
Last Update Date
2010-12-14
Business Address
-- KELLE R CHRISTIANSON PA-C
9917 SE 15TH ST
MIDWEST CITY, OK 73130-5504
Phone number: 405-622-2070
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Mailing Address
-- KELLE R CHRISTIANSON PA-C
1109 TWISTED OAK DR
MIDWEST CITY, OK 73130-5311
Phone number: 405-795-0004
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