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1033589205
KATIE BLAZUSIAK
BETHLEHEM, PA
NPI
1033589205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: PA SP015421)
Enumeration Date
2015-10-01
Last Update Date
2021-03-31
Business Address
KATIE BLAZUSIAK
1565 LINDEN ST
BETHLEHEM, PA 18017-4744
Phone number: 610-867-5365
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Mailing Address
KATIE BLAZUSIAK
1565 LINDEN ST
BETHLEHEM, PA 18017-4744
Phone number: 610-867-5365
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