Individual
BLAKE GAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 CEDAR TREE RD APT D, OKLAHOMA CITY, OK 73120-0146
(405) 630-5334
Mailing address
2600 CEDAR TREE RD APT D, OKLAHOMA CITY, OK 73120-0146
(405) 630-5334
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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