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Individual

GREGORY LOWELL BLANKENSHIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 274-9500
Mailing address
766 PRAIRIE RD, GALLOWAY, OH 43119-8874
(614) 301-1995

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.341572
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032053
OH

Other

Enumeration date
11/20/2019
Last updated
10/17/2022
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