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1336659531
STEVE A KELLY
SAPULPA, OK
NPI
1336659531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
Mr. STEVE A KELLY
10 SAHOMA LAKE RD
SAPULPA, OK 74066-6741
Phone number: 918-269-9105
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Mailing Address
Mr. STEVE A KELLY
10 SAHOMA LAKE RD
SAPULPA, OK 74066-6741
Phone number: 918-269-9106
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