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1487131132
KELLY R HOLSON
WOODWARD, OK
NPI
1487131132
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Former Name
KELLY R ROSSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 45525)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
KELLY R HOLSON
5050 WILLIAMS AVE
WOODWARD, OK 73801-7713
Phone number: 580-256-9700
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Mailing Address
KELLY R HOLSON
PO BOX 242
WAYNOKA, OK 73860-0242
Phone number: 918-839-3337
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