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1336813534
TY BLACKER
FORT SILL, OK
NPI
1336813534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN26345)
Enumeration Date
2021-08-03
Last Update Date
2023-04-11
Business Address
Dr. TY BLACKER DMD
605 RANDOLPH RD
FORT SILL, OK 73503-4535
Phone number: 580-442-5925
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Mailing Address
Dr. TY BLACKER DMD
1208 APPLE CREEK DR
ELGIN, OK 73538-8840
Phone number:
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