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Individual
SELENA M BLANKENSHIP
Active
Individual
SELENA M BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0024168992
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0024168992
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168992
VA
Other
Enumeration date
07/28/2010
Last updated
09/25/2024
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