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Individual

BLAIR DURAE TESTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP-CF

Contact information

Practice address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5820
Mailing address
16947 E 1620 RD, HOLLIS, OK 73550-7010
(405) 612-5576

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF265
OK

Other

Enumeration date
09/30/2020
Last updated
09/30/2020
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