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Individual
GREGORY LOWELL BLANKENSHIP
Active
Individual
GREGORY LOWELL BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.341572
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032053
OH
Other
Enumeration date
11/20/2019
Last updated
10/17/2022
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