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Individual

MIKALYN DALANIE BIANCHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2150 W ELK AVE, DUNCAN, OK 73533-1827
(580) 251-8460
(580) 251-8979
Mailing address
1204 KENSINGTON LN, ELGIN, OK 73538-3854

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3810
OK

Other

Enumeration date
11/07/2024
Last updated
11/07/2024
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