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Individual

CHRISTOPHER BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2412 BUHNE ST, EUREKA, CA 95501-3207
(707) 441-1624
(707) 441-1253
Mailing address
670 9TH ST, SUITE 203, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8638

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN517430
CA

Other

Enumeration date
11/02/2007
Last updated
11/02/2007
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