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1316430994
KELLY ACOSTA
OKLAHOMA CITY, OK
NPI
1316430994
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Former Name
KELLY ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 67033)
Enumeration Date
2018-06-08
Last Update Date
2018-06-08
Business Address
KELLY ACOSTA LPN
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
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Mailing Address
KELLY ACOSTA LPN
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
Copy
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