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Individual

DASHA LEIGH BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4138 S HARVARD AVE STE C3, TULSA, OK 74135-2653
(918) 828-2899
Mailing address
4138 S HARVARD AVE STE C3, TULSA, OK 74135-2653
(918) 828-2899

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1030891
OK

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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