Melissa Blackbird

NPI #1699140004 in Kansas, Oklahoma

Provider Information

NPI Number
1699140004
Entity Type
Individual
Name
Melissa Blackbird
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Dec 10, 2015
Last Updated
Dec 10, 2015

Practice Location

Address
499 W BOUNDRY
City
Kansas
ZIP Code
74347-1662
Phone
(918) 868-2567

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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