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Individual

AMY NICOLE BLAKESLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8082
Mailing address
9175 COUNTY ROAD 166, SALIDA, CO 81201-9544
(719) 239-0562

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006059
CO

Other

Enumeration date
07/15/2019
Last updated
05/04/2021
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