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Individual
REBECCA BLAGUSKI
Active
Individual
REBECCA BLAGUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED REGISTERED
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN719286
PA
363L00000X
Nurse Practitioner
Primary
SP021361
PA
363LP2300X
Primary Care Nurse Practitioner
SP021361
PA
Other
Enumeration date
05/06/2020
Last updated
07/18/2022
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