Organization
BLUEPRINT SIGNATURE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEIA LASHAE GILL (OWNER)
(918) 841-2359
Entity
Organization
Contact information
Practice address
112 W DELMAR ST., BROKEN ARROW, OK 74012
(855) 395-0763
(918) 895-0969
Mailing address
3171 S 129TH EAST AVE STE A-2082, TULSA, OK 74134-3205
(855) 395-0763
(918) 895-0969
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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