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1023137312
KELLY A BEASLEY
CLINTON, OK
NPI
1023137312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mrs. KELLY A BEASLEY
90 NORTH 31ST
CLINTON, OK 73601
Phone number: 580-331-8738
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Mailing Address
Mrs. KELLY A BEASLEY
RR 2 BOX 4825
ELK CITY, OK 73644-9304
Phone number: 580-225-3115
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