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1588064604
VANCE WAYNE BLACKWELL
BARTLESVILLE, OK
NPI
1588064604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
-- VANCE WAYNE BLACKWELL
2200 SE WASHINTON BLVD.
BARTLESVILLE, OK 74006
Phone number: 918-457-0346
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Mailing Address
-- VANCE WAYNE BLACKWELL
2200 SE WASHINTON BLVD.
BARTLESVILLE, OK 74006
Phone number: 918-457-0346
Copy
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