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1023302650
AMANDA KAY BLUE
TISHOMINGO, OK
NPI
1023302650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
Mrs. AMANDA KAY BLUE
1531 WEST MAIN
TISHOMINGO, OK 73460
Phone number: 580-371-8719
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Mailing Address
Mrs. AMANDA KAY BLUE
PO BOX 194
MILBURN, OK 73450-0194
Phone number: 580-371-8719
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