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1316956725
KELLI MICHELLE BENTON
OWASSO, OK
NPI
1316956725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2006002907)
Enumeration Date
2006-08-05
Last Update Date
2016-05-19
Business Address
Mrs. KELLI MICHELLE BENTON MPT
10229 E 96TH ST N STE 102
OWASSO, OK 74055-5305
Phone number: 918-274-8541
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Mailing Address
Mrs. KELLI MICHELLE BENTON MPT
10229 E 96TH ST N STE 102
OWASSO, OK 74055-5305
Phone number: 918-274-8541
Copy
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