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1710979018
SARAH E KELLY
OWASSO, OK
NPI
1710979018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1428)
Enumeration Date
2005-08-22
Last Update Date
2012-12-11
Business Address
-- SARAH E KELLY PA
12455 E 100TH ST N STE 120
OWASSO, OK 74055-4675
Phone number: 918-274-5510
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Mailing Address
-- SARAH E KELLY PA
1515 N HARVARD AVE STE E
TULSA, OK 74115-4904
Phone number: 918-832-6049
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