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1205088762
PENNY KAY BLACKBURN
PLYMOUTH MEETING, PA
NPI
1205088762
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Former Name
PENNY KAY BOLIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27058294A)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
-- PENNY KAY BLACKBURN LPN
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 317-842-7674
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Mailing Address
-- PENNY KAY BLACKBURN LPN
PO BOX 229
KINGMAN, IN 47952-0229
Phone number: 765-585-6000
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