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1770936270
KENNEDY ROSE
SHAWNEE, OK
NPI
1770936270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
-- KENNEDY ROSE
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
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Mailing Address
-- KENNEDY ROSE
7 HICKORY DR
SHAWNEE, OK 74804-9433
Phone number: 405-273-1170
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