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1912145723
KATHLEEN ELLISON NICHOLAS
TULSA, OK
NPI
1912145723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 3390)
Enumeration Date
2009-02-02
Last Update Date
2016-04-07
Business Address
Ms. KATHLEEN ELLISON NICHOLAS M.S. CCC-SLP
6417 S KINGSTON AVE
TULSA, OK 74136-2112
Phone number: 918-798-3196
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Mailing Address
Ms. KATHLEEN ELLISON NICHOLAS M.S. CCC-SLP
6417 S KINGSTON AVE
TULSA, OK 74136-2112
Phone number: 918-798-3196
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