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1548319130
RENALLA KAYE ELLIS
SHAWNEE, OK
NPI
1548319130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 5285)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- RENALLA KAYE ELLIS dds
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804-1839
Phone number: 405-273-2002
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Mailing Address
-- RENALLA KAYE ELLIS dds
2510 E INDEPENDENCE ST
SHAWNEE, OK 74804-1839
Phone number: 405-273-2002
Copy
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