Individual
MELANIE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 2ND ST, WELLSTON, OK 74881
(405) 625-5477
Mailing address
PO BOX 894, HARRAH, OK 73045-0894
(405) 625-5477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
176017
OK
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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