Individual
MRS. KIMBERLY LERAE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
(740) 477-1745
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
321737930905
OH
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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