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1164085502
AMMIE WALL KELLEY
TULSA, OK
NPI
1164085502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 102373)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
AMMIE WALL KELLEY
1245 S UTICA AVE STE 100
TULSA, OK 74104-4214
Phone number: 918-579-3850
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Mailing Address
AMMIE WALL KELLEY
1245 S UTICA AVE STE 100
TULSA, OK 74104-4214
Phone number: 918-579-3850
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