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1437796711
KELLY WHITE
BIXBY, OK
NPI
1437796711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 96367)
Enumeration Date
2019-12-05
Last Update Date
2023-06-08
Business Address
KELLY WHITE CNP
11911 S MEMORIAL DR
BIXBY, OK 74008-2030
Phone number: 918-943-3790
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Mailing Address
KELLY WHITE CNP
PO BOX 334
BIXBY, OK 74008-0334
Phone number: 918-970-4719
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