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Individual

DENISE VALERIE BLAKNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1 COLBY AVE, SUITE 7, STRATFORD, NJ 08084-1000
(856) 541-1700
(856) 346-3627
Mailing address
1 COLBY AVE, SUITE 7, STRATFORD, NJ 08084-1000
(856) 541-1700
(856) 346-3627

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04379000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NP04379000
NURSING LICENSE
NJ
Enumeration date
05/29/2007
Last updated
07/08/2007
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