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Individual

CARMIE SALINA BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
124 S. MAIN ST, SARDIS, MS 38666
(662) 487-1064
(662) 487-1381
Mailing address
124 S. MAIN ST, SARDIS, MS 38666
(662) 487-1064
(662) 487-1381

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R825148
MS

Other

Enumeration date
09/24/2012
Last updated
06/04/2013
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