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Individual

REBECCA L BLAIR

Active
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Individual

REBECCA L BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041318912
IL
367500000X
Certified Registered Nurse Anesthetist
209007449
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28238046A
IN

Other

Enumeration date
08/12/2009
Last updated
04/02/2026
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