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Individual
MR. TERRY D BLANKENSHIP
Active
Individual
MR. TERRY D BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-102783
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9198870
FL
367500000X
Certified Registered Nurse Anesthetist
RN129660 CRNA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305497700
—
FL
01
—
G3260
BSFL
FL
Enumeration date
01/04/2006
Last updated
10/26/2010
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