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Amanda Blue

NPI 1023302650 · on the registry since 2011 · sole proprietor

Practice

Address
1531 West Main
Tishomingo, OK 73460
Phone
(580) 371-8719

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2011-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma