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Individual

MS. SUSAN BLANKENHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9470
CA

Other

Enumeration date
03/21/2008
Last updated
04/22/2008
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