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Individual
MRS. MARY HOPE BLASE
Active
Individual
MRS. MARY HOPE BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNS
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0015000690
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
AC000548
MD
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN1013292
DC
Other
Enumeration date
07/27/2008
Last updated
12/28/2011
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