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1104248905
DOROTHY BLANTON
TOLLESON, AZ
NPI
1104248905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP030212)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
-- DOROTHY BLANTON LPN
10207 W COUNTRY PLACE BLVD
TOLLESON, AZ 85353-8450
Phone number: 623-478-6110
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Mailing Address
-- DOROTHY BLANTON LPN
10207 W COUNTRY PLACE BLVD
TOLLESON, AZ 85353-8450
Phone number: 623-478-6110
Copy
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