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1821032699
KENT ALLEN KEITHLY
ENID, OK
NPI
1821032699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 3690)
Enumeration Date
2006-06-15
Last Update Date
2008-04-25
Business Address
Mr. KENT ALLEN KEITHLY RPT
522 W BROADWAY AVE
ENID, OK 73701-3842
Phone number: 580-237-0905
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Mailing Address
Mr. KENT ALLEN KEITHLY RPT
8025 N 30TH ST
ENID, OK 73701-6864
Phone number: 580-237-6847
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