Individual
JEFFREY S BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
113 W BLACKWELL AVE, BLACKWELL, OK 74631-2801
(580) 363-2211
Mailing address
113 W BLACKWELL AVE, BLACKWELL, OK 74631-2801
(580) 363-2211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3101
OK
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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