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1871808303
KELLY A LONG
OKLAHOMA CITY, OK
NPI
1871808303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 48313)
Enumeration Date
2010-08-09
Last Update Date
2024-10-28
Business Address
KELLY A LONG NP
2130 SW 59TH ST
OKLAHOMA CITY, OK 73119-7025
Phone number: 403-303-7555
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Mailing Address
KELLY A LONG NP
3000 N GRAND BLVD
OKLAHOMA CITY, OK 73107-1818
Phone number: 405-632-6688
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