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1508474008
JESSICA KELLEY
VINITA, OK
NPI
1508474008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
JESSICA KELLEY
405 E. EXCELSIOR
VINITA, OK 74301-4226
Phone number: 918-256-6476
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Mailing Address
JESSICA KELLEY
405 E. EXCELSIOR
VINITA, OK 74301-4226
Phone number: 918-256-6476
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