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1326457151
LACEY BLAKENEY
LAUREL, MS
NPI
1326457151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R872620)
Enumeration Date
2014-08-06
Last Update Date
2024-04-01
Business Address
LACEY BLAKENEY NP-C
1002 JEFFERSON STREET SUITE 450
LAUREL, MS 39440-4327
Phone number: 601-428-0438
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Mailing Address
LACEY BLAKENEY NP-C
39 FRANKLIN RD STE 300
HATTIESBURG, MS 39402-1588
Phone number: 601-268-9393
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