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1174634562
KRISTIN BLANKENSHIP
SPRINGFIELD, IL
NPI
1174634562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085004979)
Enumeration Date
2006-08-31
Last Update Date
2014-11-17
Business Address
-- KRISTIN BLANKENSHIP PA
747 N RUTLEDGE ST 3RD FLOOR
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-8000
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Mailing Address
-- KRISTIN BLANKENSHIP PA
PO BOX 19653
SPRINGFIELD, IL 62794-9653
Phone number: 217-545-8000
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