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Individual

AURA BLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
436 AUBORN AVE, SHIRLEY, NY 11967-1545
(631) 281-0114
Mailing address
436 AUBORN AVE, SHIRLEY, NY 11967-1545
(631) 281-0114

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
227193
NY

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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