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Blondell Mcclendon Valid NPI

Individual provider · Licensed Practical Nurse · Fort Rucker, AL

NPI
1609450212
Type
Individual (Type 1)
Primary specialty
Licensed Practical Nurse
Specialty group
Nursing Service Providers
Taxonomy code
164W00000X
License number
2-066000 (AL)
Sex
Female
Sole proprietor
No
Enumerated
2021-05-10
Last updated
2021-05-10
Practice location
301 Andrews Avenue
Fort Rucker, AL 36362
(334) 255-7742

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