BLAYNE BORDWINE

OKLAHOMA CITY, OK
NPI1023898616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: OK  215424)
Enumeration Date2023-10-02
Last Update Date2023-10-02
Business Address
BLAYNE BORDWINE
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104-4637
Phone number: 405-271-4700
Mailing Address
BLAYNE BORDWINE
12721 NW 137TH ST
PIEDMONT, OK 73078-8149
Phone number:
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