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Individual

PAULA BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
524 BYRON RD, HOWELL, MI 48843-1410
(517) 545-6618
Mailing address
8616 SARGENT RD, FOWLERVILLE, MI 48836-8938

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4704153925
MI

Other

Enumeration date
07/25/2006
Last updated
03/08/2011
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