ERICA LEE BLANKENSHIP

DU QUOIN, IL
NPI1649526609
Former NameERICA LEE REID
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043084772)
Enumeration Date2012-07-27
Last Update Date2012-07-27
Business Address
MRS. ERICA LEE BLANKENSHIP LPN BM
119 GAS PLANT RD
DU QUOIN, IL 62832-3866
Phone number: 618-542-8702
Mailing Address
MRS. ERICA LEE BLANKENSHIP LPN BM
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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