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1295210367
LAURA R BLANKENSHIP
ORANGEBURG, SC
NPI
1295210367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: SC 22250)
Enumeration Date
2018-09-25
Last Update Date
2020-03-17
Business Address
LAURA R BLANKENSHIP
940 HOLLY ST
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
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Mailing Address
LAURA R BLANKENSHIP
940 HOLLY ST
ORANGEBURG, SC 29115-4930
Phone number: 803-536-2725
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