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1144009143
VICTORIA BROOKE BLAYLOCK
MCALESTER, OK
NPI
1144009143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OK 215360)
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
VICTORIA BROOKE BLAYLOCK FNP-C
340 S GEORGE NIGH EXPY
MCALESTER, OK 74501-6075
Phone number: 918-420-9854
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Mailing Address
VICTORIA BROOKE BLAYLOCK FNP-C
108 NE 6TH ST
WILBURTON, OK 74578-3012
Phone number: 918-638-4182
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