Individual
JENNIFFER BLANKINSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 W 9TH ST, CUSHING, OK 74023-5812
(918) 223-6599
Mailing address
6505 W 9TH STREET, CUSHING, OK 74023
(918) 223-6599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3425
OK
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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