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Individual
SUSANNA NICOLE BLAIR
Active
Individual
SUSANNA NICOLE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015843
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100739870
—
KY
Enumeration date
02/22/2021
Last updated
12/27/2021
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