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Individual

BARBARA BLANKEVOORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
Mailing address
195 W ELMWOOD AVE UNIT 103, BURBANK, CA 91502-2227
(818) 415-1673

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 250712
CA

Other

Enumeration date
12/14/2010
Last updated
12/21/2010
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