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1114693389
KATIE BLAKELY
CULLMAN, AL
NPI
1114693389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-054988)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
KATIE BLAKELY
1909 COMMERCE AVE
CULLMAN, AL 35055-6151
Phone number: 256-734-4688
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Mailing Address
KATIE BLAKELY
1909 COMMERCE AVE
CULLMAN, AL 35055-6151
Phone number:
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