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1841631108
BLAINE BERTREM COFFEY
ARDMORE, OK
NPI
1841631108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
MRS. BLAINE BERTREM COFFEY M.S.
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5070
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Mailing Address
MRS. BLAINE BERTREM COFFEY M.S.
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-5070
Copy
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