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Individual

MR. CARLOS H BLANCARTE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
268 E RIVER RD STE 150, TUCSON, AZ 85704-5844
(520) 319-5766
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6035

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO29468
AZ

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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