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Individual
MARY B BLANKENSHIP
Active
Individual
MARY B BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
022224
OH
363LF0000X
Family Nurse Practitioner
NP06557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2274828
—
OH
05
—
7101172000
—
WV
05
—
78011251
—
KY
Enumeration date
04/03/2006
Last updated
04/25/2019
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