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Individual
JULIE A BLEYENBERG
Active
Individual
JULIE A BLEYENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13421
NH
207V00000X
Obstetrics & Gynecology Physician
PENDING
OH
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
13421
NH
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
PENDING
OH
207VG0400X
Gynecology Physician
PENDING
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2669901
—
OH
05
—
3071612
—
NH
01
—
34-008813
LICENSE 7-31-09 EXP
OH
Enumeration date
06/09/2006
Last updated
03/19/2019
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