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Contact Information

REBECCA S BLAKE I, CNA
408 S 17TH ST
CLINTON, OK73601-4236
 Phone: 580-323-0312
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REBECCA S BLAKE I · (Female)

NPI # 1205098134
Status Active
Credentials CNA
Entity Individual
Enumeration date 07/01/2008
Last updated 07/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 37V350170804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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