Individual
MS. BONNIE JOANNE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
39 CHURCH ST, BETHEL, ME 04217-3809
(207) 824-7700
Mailing address
39 CHURCH ST, BETHEL, ME 04217-3809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000041109
—
Other
Enumeration date
07/03/2019
Last updated
05/18/2021
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