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1922350982
LANA C KELLEY
OWASSO, OK
NPI
1922350982
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Former Name
LANA MOSES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OK 930)
Enumeration Date
2012-10-15
Last Update Date
2020-02-24
Business Address
LANA C KELLEY HAD
12905 E 96TH ST N
OWASSO, OK 74055-4719
Phone number: 918-928-2880
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Mailing Address
LANA C KELLEY HAD
3385 ROY ORR BLVD
GRAND PRAIRIE, TX 75050-4208
Phone number: 469-426-6049
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