Individual
SAMUEL BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 N GRAND BLVD, OKLAHOMA CITY, OK 73112-5943
(405) 618-8698
Mailing address
4520 N GRAND BLVD, OKLAHOMA CITY, OK 73112-5943
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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