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1700454287
CARLY JESSICA KNOBLOCH
BIXBY, OK
NPI
1700454287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA RN150943)
Enumeration Date
2021-06-11
Last Update Date
2024-12-02
Business Address
CARLY JESSICA KNOBLOCH PMHNP
11911 S MEMORIAL DR
BIXBY, OK 74008-2030
Phone number: 918-943-3790
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Mailing Address
CARLY JESSICA KNOBLOCH PMHNP
PO BOX 334
BIXBY, OK 74008-0334
Phone number: 918-943-3790
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