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1386891562
LILA JO BLAKEMAN
HULETT, WY
NPI
1386891562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 33631.46339)
Enumeration Date
2008-08-19
Last Update Date
2024-07-25
Business Address
LILA JO BLAKEMAN NP-C
131 RED DEVIL DR
HULETT, WY 82720-5047
Phone number: 307-688-2235
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Mailing Address
LILA JO BLAKEMAN NP-C
PO BOX 3011
GILLETTE, WY 82717-3011
Phone number: 307-688-1000
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