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1346501202
KELLY LYNN DAVIS
PARK HILL, OK
NPI
1346501202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2012-06-06
Last Update Date
2012-06-06
Business Address
Mrs. KELLY LYNN DAVIS
18247 W RUNNING SPRINGS RD
PARK HILL, OK 74451-2017
Phone number: 918-441-6337
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Mailing Address
Mrs. KELLY LYNN DAVIS
18247 W RUNNING SPRINGS RD
PARK HILL, OK 74451-2017
Phone number: 918-441-6337
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