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Individual
MRS. JENNIFER BLEVINS
Active
Individual
MRS. JENNIFER BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
750866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
04/12/2010
Last updated
10/25/2012
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