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1720513989
KARLA BLAYNE
ALTUS, OK
NPI
1720513989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0066100)
Enumeration Date
2017-04-25
Last Update Date
2019-01-08
Business Address
KARLA BLAYNE LPN
111 N HUDSON ST
ALTUS, OK 73521-3811
Phone number: 580-379-4085
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Mailing Address
KARLA BLAYNE LPN
111 N HUDSON ST
ALTUS, OK 73521-3811
Phone number:
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