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1750587960
KELLY MCCANNELL
LAWTON, OK
NPI
1750587960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 0337)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
-- KELLY MCCANNELL LBP
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5436
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Mailing Address
-- KELLY MCCANNELL LBP
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5436
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