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1740581586
KELLY STANDINGWATER
BROKEN ARROW, OK
NPI
1740581586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-11-10
Last Update Date
2010-11-10
Business Address
-- KELLY STANDINGWATER
3100 S ELM PL STE B
BROKEN ARROW, OK 74012-7950
Phone number: 918-286-2535
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Mailing Address
-- KELLY STANDINGWATER
3100 S ELM PL STE B
BROKEN ARROW, OK 74012-7950
Phone number: 918-286-2535
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