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1134197247
ROBERT D BLANKEN
JACKSONVILLE, FL
NPI
1134197247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: KS 15-00330)
Enumeration Date
2006-03-14
Last Update Date
2013-05-23
Business Address
-- ROBERT D BLANKEN PA
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300
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Mailing Address
-- ROBERT D BLANKEN PA
PO BOX 863026
ORLANDO, FL 32886-3026
Phone number: 800-288-8325
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