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Individual
SARAH LEONE BLOUGH
Active
Individual
SARAH LEONE BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBSM GROUP NUMBER
MI
Enumeration date
09/11/2007
Last updated
01/14/2022
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