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Individual

MRS. VICTORIA E BLEWETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPH

Contact information

Practice address
208 N HIGH ST, ANTLERS, OK 74523-2216
(580) 298-3377
(580) 298-6260
Mailing address
HC 67 BOX 330, ANTLERS, OK 74523-9508
(580) 298-2575

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8493
OK

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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