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Individual

WILLIAM RICHARD BLOMENKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, ACRN

Contact information

Practice address
405 DANTE RD, KNOXVILLE, TN 37918-9719
(865) 215-5511
Mailing address
1322 STONY POINT RD, KNOXVILLE, TN 37914-8912
(865) 465-3862

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000177966
TN

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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