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Individual

MS. KAREN BLOUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2027 NW 6TH ST, GAINESVILLE, FL 32609
(352) 682-4787
Mailing address
1946 SE STATE ROAD 21, MELROSE, FL 32666-5302
(352) 682-4787
(352) 475-3303

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT8939
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT8939
STATE LICENSE
FL
Enumeration date
05/04/2007
Last updated
01/12/2011
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