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1083994602
STEPHEN W BLANKENSHIP
ARDMORE, OK
NPI
1083994602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
-- STEPHEN W BLANKENSHIP BHRS
32 N WASHINGTON ST
ARDMORE, OK 73401-7013
Phone number: 580-226-5209
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Mailing Address
-- STEPHEN W BLANKENSHIP BHRS
1495 MARY NIBLACK RD
ARDMORE, OK 73401-9495
Phone number: 580-221-8740
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