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1528684388
KATELYN ADMIRE
GROVE, OK
NPI
1528684388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4398)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2020-06-17
Last Update Date
2024-10-18
Business Address
KATELYN ADMIRE P.A.C.
1001 E 18TH ST
GROVE, OK 74344-2907
Phone number: 918-786-2243
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Mailing Address
KATELYN ADMIRE P.A.C.
17142 S 4480 RD
BLUEJACKET, OK 74333-4582
Phone number: 757-621-0249
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