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Individual

MR. JAMES ALLEN BLANKENSHIP

Active
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Individual

MR. JAMES ALLEN BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C-APN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001177356
VA
163WG0000X
General Practice Registered Nurse
50624
WV
363LF0000X
Family Nurse Practitioner
0017137421
VA
363LF0000X
Family Nurse Practitioner
Primary
0024165021
VA
363LF0000X
Family Nurse Practitioner
1177356
VA

Other

Enumeration date
04/14/2013
Last updated
01/19/2016
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