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Individual

DR. KELSEY DAWN GROUNDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2123 W 6TH AVE, STILLWATER, OK 74074-4136
(405) 372-3724
Mailing address
1514 W 14TH AVE, STILLWATER, OK 74074-2555

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2779
OK

Other

Enumeration date
06/11/2013
Last updated
04/01/2015
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