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1255590311
SHANNON KELLY
TULSA, OK
NPI
1255590311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-04
Last Update Date
2015-10-21
Business Address
-- SHANNON KELLY AAPS
1055 S HOUSTON AVE
TULSA, OK 74127-9043
Phone number: 918-921-3200
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Mailing Address
-- SHANNON KELLY AAPS
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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