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Individual

MRS. BARBARA VENARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDCCCSLP

Contact information

Practice address
1245 WHIPPOORWILL VIS, CHOCTAW, OK 73020-7029
(405) 769-1034
Mailing address
1245 WHIPPOORWILL VIS, CHOCTAW, OK 73020-7029
(405) 769-1034

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
787
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
731518750001
BLUECROSS & BLUE SHIELD
OK
Enumeration date
05/24/2007
Last updated
07/08/2007
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