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1528801883
KYNADI JAE SHELBY
TULSA, OK
NPI
1528801883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-14
Last Update Date
2024-06-14
Business Address
Dr. KYNADI JAE SHELBY DO
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-561-1555
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Mailing Address
Dr. KYNADI JAE SHELBY DO
16172 N 1710 RD
HOLLIS, OK 73550-5015
Phone number: 580-301-2284
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