Individual
KATHERINE JEAN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 HIGHWAY 70, HASTINGS, OK 73548
(580) 313-0539
Mailing address
2710 HIGHWAY 70, HASTINGS, OK 73548
(580) 313-0539
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
116224
TX
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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