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1174891642
KENZIE ELLIS
TULSA, OK
NPI
1174891642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 8841)
Enumeration Date
2011-12-12
Last Update Date
2011-12-12
Business Address
-- KENZIE ELLIS RN,BSN,IBCLC
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-2200
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Mailing Address
-- KENZIE ELLIS RN,BSN,IBCLC
25888 S CACTUS RD
CLAREMORE, OK 74019-2372
Phone number: 918-740-7507
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