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Individual
COURTNEY JUNE BLOMME
Active
Individual
COURTNEY JUNE BLOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP3713
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP3713
APRN LICENSE
MN
01
—
R202004-6
RN
MN
Enumeration date
09/30/2011
Last updated
03/17/2018
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