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1013327022
EPHRAIM KELLEY
BETHANY, OK
NPI
1013327022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK C081932107)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
-- EPHRAIM KELLEY
2800 N. ROCKWELL AVE.
BETHANY, OK 73008
Phone number: 405-933-4581
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Mailing Address
-- EPHRAIM KELLEY
2800 N. ROCKWELL AVE.
BETHANY, OK 73008
Phone number: 405-933-4581
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