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1881948859
MICHAELANNE KELLY
CHOCTAW, OK
NPI
1881948859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 356)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
-- MICHAELANNE KELLY PTA
1880 N TRIPLE X RD
CHOCTAW, OK 73020
Phone number: 405-834-6432
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Mailing Address
-- MICHAELANNE KELLY PTA
1880 N TRIPLE X RD
CHOCTAW, OK 73020
Phone number: 405-834-6432
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