Individual
JILL BLAYNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 ALAMEDA, # 2607, NORMAN, OK 73071
(208) 431-8653
Mailing address
909 ALAMEDA ST, NORMAN, OK 73071-5229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
03/14/2014
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