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Individual

ANDREA L BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2140 S HARVARD AVE, TULSA, OK 74114-1960
(918) 747-6377
Mailing address
8710 E 58TH ST, TULSA, OK 74145-8701

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/07/2008
Last updated
11/07/2008
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