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Individual

CHRISTINE L. BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1551 AUGUSTA CHATHAM RD, AUGUSTA, KY 41002-9224
(606) 756-2117
(606) 756-2135
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3001926
KY
363LF0000X
Family Nurse Practitioner
RN137334 NP06001
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2426673
OH
05
7100167320
KY
Enumeration date
10/10/2006
Last updated
11/30/2011
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