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1033724737
STEPHANIE JANICE BLANKS
GLENDALE, CA
NPI
1033724737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95014583)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
STEPHANIE JANICE BLANKS NP
500 N CENTRAL AVE STE 900
GLENDALE, CA 91203-3346
Phone number: 818-662-6950
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Mailing Address
STEPHANIE JANICE BLANKS NP
1400 GLENWOOD RD APT 106
GLENDALE, CA 91201-1918
Phone number: 818-434-3171
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