Individual
MS. DEBRA IDA BLONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7009 BATES RD S, SALEM, OR 97306-9418
(503) 910-9934
Mailing address
7009 BATES RD S, SALEM, OR 97306-9418
(503) 910-9934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
087000100RN
OR
Other
Enumeration date
03/03/2013
Last updated
03/03/2013
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