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Individual

KATIE BLAZUSIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1565 LINDEN ST, BETHLEHEM, PA 18017-4744
(610) 867-5365
(610) 867-5366
Mailing address
1565 LINDEN ST, BETHLEHEM, PA 18017-4744
(610) 867-5365
(610) 867-5366

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP015421
PA

Other

Enumeration date
10/01/2015
Last updated
03/31/2021
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