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1356344949
BETTIE BLACKMON
CLINTON, LA
NPI
1356344949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP03903)
Enumeration Date
2005-05-27
Last Update Date
2023-03-07
Business Address
Mrs. BETTIE BLACKMON FNP-C
11990 JACKSON ST
CLINTON, LA 70722-3210
Phone number: 225-683-5292
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Mailing Address
Mrs. BETTIE BLACKMON FNP-C
PO BOX 395
CLINTON, LA 70722-0395
Phone number: 225-683-5292
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