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Individual
MS. GAYLE MARIE BLUM
Active
Individual
MS. GAYLE MARIE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC. FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R201227
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R201227
MD
Other
Enumeration date
06/26/2017
Last updated
03/13/2025
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