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Individual

BETHANNA BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
26 GILBERT TERRACE DR, GILBERT, WV 25621-7203
(304) 664-1135
Mailing address
PO BOX 1711, GILBERT, WV 25621-1711
(304) 664-1135

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/09/2021
Last updated
12/23/2022
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