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Individual

KELLI M HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
220 E COMANCHE AVE, MCALESTER, OK 74501-5846
(918) 426-5206
Mailing address
743 HIGHLAND PKWY, NORMAN, OK 73069-7525
(405) 496-9790

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
07/06/2012
Last updated
07/06/2012
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