Individual
DR. KAREN BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
722 W JACKSON ST, MACOMB, IL 61455-2012
(309) 833-2365
Mailing address
722 W JACKSON ST, MACOMB, IL 61455-2012
(309) 833-2365
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
090-007699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NONE
—
Enumeration date
03/26/2012
Last updated
03/26/2012
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