KELLEY DWAYNE FARRIS

TULSA, OK
NPI1063240430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
Mr. KELLEY DWAYNE FARRIS
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
Mailing Address
Mr. KELLEY DWAYNE FARRIS
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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