Individual
LAURA MAE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 S TRIMBLE RD, MANSFIELD, OH 44907-2200
(419) 951-2020
Mailing address
1442 LEITER RD, LUCAS, OH 44843-9539
(419) 566-4085
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN.428476
OH
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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