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Rachel Blanks, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fayetteville, GA

NPI
1083854160
Type
Individual (Type 1)
Primary specialty
Licensed Practical Nurse
Specialty group
Nursing Service Providers
Taxonomy code
164W00000X
License number
231245 (NY)
Sex
Female
Sole proprietor
Yes
Enumerated
2009-03-02
Last updated
2012-01-05
Practice location
170 Brookwood Lane
Fayetteville, GA 30215
(646) 234-3779

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