Blanco, Grace

Blanco, Grace is an sole proprietor health care provider with primary practice located at 704 W Carson Dr , Mustang OK 73064-3578. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blanco, Grace can be contacted via phone (405) 431-8018.

Contact Information

Primary practice address
704 W Carson Dr Mustang OK 73064-3578
Phone: (405) 431-8018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205278736
LBN Legal business name Blanco, Grace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2013
Last updated Jul 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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