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Individual

MRS. AMY L MINOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC SLP

Contact information

Practice address
1051 S MUSTANG RD, BLANCHARD, OK 73010-6637
(405) 301-6238
Mailing address
1051 S MUSTANG RD, BLANCHARD, OK 73010-6637
(405) 301-6238

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3586
OK

Other

Enumeration date
11/14/2010
Last updated
11/14/2010
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