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1053774299
JULIE BLIZZARD
TULSA, OK
NPI
1053774299
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Former Name
JULIE PUTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 6237)
Enumeration Date
2016-04-04
Last Update Date
2019-10-31
Business Address
JULIE BLIZZARD D.O.
4444 E 41ST ST
TULSA, OK 74135-2527
Phone number: 918-619-4400
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Mailing Address
JULIE BLIZZARD D.O.
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number:
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