GENAE BLAKELY

SPENCER, OK
NPI1275159675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  29398)
Enumeration Date2020-06-22
Last Update Date2020-06-22
Business Address
GENAE BLAKELY
12716 NE 36TH ST
SPENCER, OK 73084-9167
Phone number: 405-769-3301
Mailing Address
GENAE BLAKELY
PO BOX 30589
MIDWEST CITY, OK 73140-3589
Phone number: 405-769-3301
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