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1518601731
MISTY LEANN BLANTON
LONDON, KY
NPI
1518601731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3017644)
Enumeration Date
2022-04-25
Last Update Date
2022-07-14
Business Address
MISTY LEANN BLANTON
300 CARRERA DR
LONDON, KY 40741-6303
Phone number: 606-260-8962
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Mailing Address
MISTY LEANN BLANTON
PO BOX 102
BAXTER, KY 40806-0102
Phone number: 606-273-5261
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