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1366935801
KELLY HARRELSON
ROANOKE, TX
NPI
1366935801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 34055)
Additional Taxonomies
122300000X Dentist
(Licence: OK 7046)
Enumeration Date
2018-06-10
Last Update Date
2018-06-10
Business Address
DR. KELLY HARRELSON DDS
1405 CANNON PKWY
ROANOKE, TX 76262-3620
Phone number: 918-413-2774
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Mailing Address
DR. KELLY HARRELSON DDS
3605 COUNTRY CLB
MOORE, OK 73160-7615
Phone number: 918-413-2774
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