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Individual
ROGER OWEN BLEVINS
Active
Individual
ROGER OWEN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP4644
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP02896
NM
363LP0200X
Pediatric Nurse Practitioner
R0034727
OK
Other
Enumeration date
02/10/2006
Last updated
05/27/2016
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