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1356994974
KELSEY DONNETTE KRUCKEBERG
TULSA, OK
NPI
1356994974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0114800)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
KELSEY DONNETTE KRUCKEBERG APRN-CNP
8115 S MEMORIAL DR
TULSA, OK 74133-4331
Phone number: 918-254-6315
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Mailing Address
KELSEY DONNETTE KRUCKEBERG APRN-CNP
11528 S MULBERRY LN
JENKS, OK 74037-2123
Phone number:
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