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1962130682
KENNEDY LOGAN
TULSA, OK
NPI
1962130682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
KENNEDY LOGAN CPM
5750 E 31ST ST
TULSA, OK 74135-5103
Phone number: 918-932-8164
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Mailing Address
KENNEDY LOGAN CPM
1408 S SANDUSKY AVE
TULSA, OK 74112-6134
Phone number: 405-317-3240
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