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Individual
VICTORIA L BLOUNT
Active
Individual
VICTORIA L BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000929
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147-000929
STATE LICENSE
IL
Enumeration date
02/22/2006
Last updated
03/17/2018
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