Individual
MR. JAMES ARTHUR BLANE IV
Active
Individual
MR. JAMES ARTHUR BLANE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORTH. TECH, L.P.N.
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27014616A
IN
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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