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1093127979
KIMBERLY ANN KELLY-LORENZ
CANADIAN, OK
NPI
1093127979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
-- KIMBERLY ANN KELLY-LORENZ
163 MOHAWK DR
CANADIAN, OK 74425-9747
Phone number: 918-339-5800
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Mailing Address
-- KIMBERLY ANN KELLY-LORENZ
163 MOHAWK DR
CANADIAN, OK 74425-9747
Phone number: 918-339-5800
Copy
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