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1699382655
KELLI RENEE PRIDEMORE
TULSA, OK
NPI
1699382655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2020-09-24
Last Update Date
2025-03-03
Business Address
KELLI RENEE PRIDEMORE PTA
3701 M.L.K. JR BLVD
TULSA, OK 74106
Phone number: 918-425-3583
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Mailing Address
KELLI RENEE PRIDEMORE PTA
419 S 276TH EAST AVE
CATOOSA, OK 74015-5535
Phone number: 918-899-8391
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