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1407107576
ELIZABETH BLANKE
COUNCIL BLUFFS, IA
NPI
1407107576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: IA J-127693)
Enumeration Date
2012-09-28
Last Update Date
2012-10-08
Business Address
-- ELIZABETH BLANKE
1702 N 16TH ST
COUNCIL BLUFFS, IA 51501-0121
Phone number: 712-256-7223
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Mailing Address
-- ELIZABETH BLANKE
1306 N 52ND ST
OMAHA, NE 68132-1420
Phone number: 402-332-6706
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