Individual
MS. DEBRA G BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 BROADWAY ST, SPRINGFIELD, OH 45504-2332
(937) 206-9583
Mailing address
1421 BROADWAY ST, SPRINGFIELD, OH 45504-2332
(937) 206-9583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.093597-MEDS
OH
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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