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1508259342
LAURA BLACKWELL
SANTA CLARA, CA
NPI
1508259342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 364571)
Enumeration Date
2015-03-17
Last Update Date
2015-03-17
Business Address
Mrs. LAURA BLACKWELL NP
1345 LINCOLN ST
SANTA CLARA, CA 95050-4638
Phone number: 408-947-1339
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Mailing Address
Mrs. LAURA BLACKWELL NP
1345 LINCOLN ST
SANTA CLARA, CA 95050-4638
Phone number: 408-947-1339
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