MARY E BLASINGAME

MALVERN, AR
NPI1679594683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: AR  P01165)
Enumeration Date2006-07-22
Last Update Date2007-07-08
Business Address
Mrs. MARY E BLASINGAME RNP,APN
2204 E SULLENBERGER AVE
MALVERN, AR 72104-4806
Phone number: 501-332-6972
Mailing Address
Mrs. MARY E BLASINGAME RNP,APN
982 WINE DOT RD
MALVERN, AR 72104-7551
Phone number: 501-337-0840
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