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Individual
MARY BLONDELL DEAL
Active
Individual
MARY BLONDELL DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN5466
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39006731
—
TN
05
—
3900675
—
TN
01
—
4162728
BCBS
TN
01
—
41975
TLC
TN
Enumeration date
09/01/2006
Last updated
04/21/2011
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