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1457691446
JERRY B BLANKENSHIP
ENID, OK
NPI
1457691446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: OK 7940)
Enumeration Date
2013-02-27
Last Update Date
2014-04-21
Business Address
-- JERRY B BLANKENSHIP MD
1220 W WILLOW RD STE A
ENID, OK 73703-2511
Phone number: 580-234-6200
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Mailing Address
-- JERRY B BLANKENSHIP MD
4401 W MEMORIAL RD 140
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-752-3162
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