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1528145026
KELLY J BLICKENSDERFER
BOWLING GREEN, OH
NPI
1528145026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH COA.09007-NP)
Enumeration Date
2006-11-01
Last Update Date
2022-06-15
Business Address
KELLY J BLICKENSDERFER CFNP
1215 RIDGEWOOD DR SUITE B
BOWLING GREEN, OH 43402-2690
Phone number: 419-352-9071
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Mailing Address
KELLY J BLICKENSDERFER CFNP
745 HASKINS RD SUITE B
BOWLING GREEN, OH 43402-1637
Phone number: 419-353-7069
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