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1376029942
ALESHA MICHELE BLACKETER
FLAGSTAFF, AZ
NPI
1376029942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ AP10186)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
ALESHA MICHELE BLACKETER FNP
3150 N WINDING BROOK RD
FLAGSTAFF, AZ 86001-0972
Phone number: 928-556-0060
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Mailing Address
ALESHA MICHELE BLACKETER FNP
PO BOX 29675 DEPT 2025
PHOENIX, AZ 85038
Phone number: 928-814-3332
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