Individual
MRS. CHEKOTA LEEANN BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
701 S RENNIE ST, ADA, OK 74820-7851
(580) 665-7888
Mailing address
701 S RENNIE ST, ADA, OK 74820-7851
(580) 665-7888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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