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1144896804
KELLY JOHNSON BERRY
TULSA, OK
NPI
1144896804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 1968)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
Mrs. KELLY JOHNSON BERRY PT, MPH
12697 E 51ST ST
TULSA, OK 74146-6236
Phone number: 918-744-2476
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Mailing Address
Mrs. KELLY JOHNSON BERRY PT, MPH
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-2476
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