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1417659798
KALI MICHELLE GOFORTH
PRYOR, OK
NPI
1417659798
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Former Name
KALI MICHELLE GOFORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: OK L0071516)
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
KALI MICHELLE GOFORTH LPN
231 E GRAHAM AVE
PRYOR, OK 74361-2436
Phone number: 918-825-1405
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Mailing Address
KALI MICHELLE GOFORTH LPN
231 E GRAHAM AVE
PRYOR, OK 74361-2436
Phone number: 918-232-2844
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