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Individual
CARLOS M BLANCHARD
Active
Individual
CARLOS M BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28183638A
IN
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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