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Individual

KATHRYN BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC/PC

Contact information

Practice address
1428 DUNWOODY VILLAGE PKWY, DUNWOODY, GA 30338-4123
(770) 394-2358
Mailing address
760 GLENGATE PL, ATLANTA, GA 30328-7257

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN260522
GA

Other

Enumeration date
02/08/2018
Last updated
02/08/2018
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