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Individual

LINDA KAY BLASINGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2725 N WESTWOOD BLVD STE 5, POPLAR BLUFF, MO 63901-2367
(573) 872-4675
(573) 872-4671
Mailing address
2725 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2346
(573) 872-4675
(573) 872-4371

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2021045824
MO
163W00000X
Registered Nurse
R48867
AR
363LF0000X
Family Nurse Practitioner
Primary
2020012106
MO
363LF0000X
Family Nurse Practitioner
A005080
AR

Other

Enumeration date
09/14/2016
Last updated
07/28/2023
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