Macey Shanae Blakley

NPI #1861168056 in Purcell, Oklahoma

Provider Information

NPI Number: 1861168056
Entity Type: Individual
Name: Macey Shanae Blakley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 18, 2021
Last Updated: Aug 18, 2021

Practice Location

Address: 3000 S 9TH AVE TRLR 91
City: Purcell
State: Oklahoma
ZIP Code: 73080-8441
Phone: (580) 380-5652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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