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Individual

DARLA BLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
127 FOLLY LN, STOYSTOWN, PA 15563-8562
(814) 798-5901
Mailing address
127 FOLLY LN, STOYSTOWN, PA 15563-8562
(814) 798-5901

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/27/2017
Last updated
02/27/2017
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