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1003412404
JANNA BLANKS
FORT RUCKER, AL
NPI
1003412404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-063056)
Enumeration Date
2020-12-10
Last Update Date
2020-12-10
Business Address
JANNA BLANKS
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Phone number: 334-255-7973
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Mailing Address
JANNA BLANKS
301 ANDREWS AVE.
FORT RUCKER, AL 36362
Phone number: 334-255-7973
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