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Individual
KRISTIN L SELLS
Active
Individual
KRISTIN L SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA742
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045300C
—
OK
Enumeration date
10/06/2005
Last updated
01/06/2014
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