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Individual

CHEYENNE LEA BLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4824 MCMAHON BLVD NW STE 109, ALBUQUERQUE, NM 87114-5412
(505) 558-7246
Mailing address
4824 MCMAHON BLVD NW STE 109, ALBUQUERQUE, NM 87114-5412

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2017-0093
NM
363A00000X
Physician Assistant
Primary
PA3823
KY
363AM0700X
Medical Physician Assistant
PA3823
KY
363AS0400X
Surgical Physician Assistant
PA3823
KY

Other

Enumeration date
09/12/2017
Last updated
05/11/2026
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