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1497059968
KELLYN HAMPTON
TAHLEQUAH, OK
NPI
1497059968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 10795)
Enumeration Date
2010-12-27
Last Update Date
2021-09-27
Business Address
Ms. KELLYN HAMPTON
711 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4717
Phone number: 918-207-0078
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Mailing Address
Ms. KELLYN HAMPTON
22005 E 660 RD
TAHLEQUAH, OK 74464-8230
Phone number: 720-402-5977
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