Individual
MARY CLARE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
851 E 5TH ST, SUITE 154, WASHINGTON, MO 63090-3135
(636) 239-8248
Mailing address
851 E 5TH ST, SUITE 154, WASHINGTON, MO 63090-3135
(636) 239-8248
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
073470
MO
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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