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Individual

MISS CONSTANCE B BLANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1527 SHRIVER AVE NE, CANTON, OH 44705-1539
(330) 313-6007
Mailing address
1527 SHRIVER AVE N. E., CANTON, OH 44705
(330) 313-6007

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.335195
OH

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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