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1023568177
CASSANDRA BLAKELY
MONTGOMERY, AL
NPI
1023568177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-042975)
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- CASSANDRA BLAKELY LPN
2900 MCGEHEE RD
MONTGOMERY, AL 36111-2151
Phone number: 334-280-3349
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Mailing Address
-- CASSANDRA BLAKELY LPN
PO BOX 11087
MONTGOMERY, AL 36111-0087
Phone number: 334-481-1599
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