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Individual

MRS. KOREN J. BLANKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1350 CHESTER BLVD STE B, RICHMOND, IN 47374-1962
(765) 935-4088
(765) 966-2596
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3293
(765) 983-3219

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006331A
IN

Other

Enumeration date
06/07/2016
Last updated
05/12/2021
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