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Individual
DONNA C. BLACH
Active
Individual
DONNA C. BLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0042209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204550B
—
OK
05
—
100204550P
—
OK
Enumeration date
04/04/2006
Last updated
12/18/2009
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