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1235300054
JACQUELINE D. BLANTON
TULLAHOMA, TN
NPI
1235300054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: TN 13405)
Enumeration Date
2008-03-19
Last Update Date
2013-10-29
Business Address
JACQUELINE D. BLANTON ACNP
1801 N WASHINGTON ST STE. 300
TULLAHOMA, TN 37388-8245
Phone number: 931-393-4995
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Mailing Address
JACQUELINE D. BLANTON ACNP
1801 N WASHINGTON ST STE. 300
TULLAHOMA, TN 37388-8245
Phone number: 931-393-4995
Copy
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