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Individual
MRS. PATRICIA BLANCHARD
Active
Individual
MRS. PATRICIA BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, RDLLD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
661
OK
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
661
OK
133VN1006X
Metabolic Nutrition Registered Dietitian
661
OK
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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