TRACY ELIZABETH BLANTON

LA PORTE, IN
NPI1508290289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28118993A)
Enumeration Date2013-08-29
Last Update Date2013-08-29
Business Address
-- TRACY ELIZABETH BLANTON NP
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-325-5474
Mailing Address
-- TRACY ELIZABETH BLANTON NP
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-325-5474
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