Individual
MARILYN K BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BN, MSN
Contact information
Practice address
1303 BELLEFONTAINE AVE, LIMA, OH 45804-3109
(419) 222-5788
(419) 222-9504
Mailing address
409 N JEFFERSON ST, PANDORA, OH 45877-9414
(419) 384-3050
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN187417
OH
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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