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Individual

REBEKAH MARIE BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3500
(573) 629-3515
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3500
(573) 629-3515

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025008099
MO
363A00000X
Physician Assistant
85007552
IL

Other

Enumeration date
02/14/2019
Last updated
07/08/2025
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