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1902657273
HOLLIS CREG KELLY
TULSA, OK
NPI
1902657273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK 141883809)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
HOLLIS CREG KELLY
4444 E 41ST ST
TULSA, OK 74135-2527
Phone number: 918-660-3158
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Mailing Address
HOLLIS CREG KELLY
6934 E 9TH ST
TULSA, OK 74112-4606
Phone number: 918-740-1225
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