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1679237887
KELLY K KOZHULENKO
EDMOND, OK
NPI
1679237887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OK 205825)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
KELLY K KOZHULENKO NP
2409 NW 172ND CIR
EDMOND, OK 73012-0010
Phone number: 405-227-3130
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Mailing Address
KELLY K KOZHULENKO NP
2409 NW 172ND CIR
EDMOND, OK 73012-0010
Phone number: 405-227-3130
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