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1700993201
ROBERTA F BLASENAK
SEVIERVILLE, TN
NPI
1700993201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN 4072466)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
Mrs. ROBERTA F BLASENAK RN, CPNP
801 MIDDLE CREEK RD
SEVIERVILLE, TN 37862-5018
Phone number: 865-453-4434
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Mailing Address
Mrs. ROBERTA F BLASENAK RN, CPNP
4559 WHETSTONE RD
SEVIERVILLE, TN 37862-8195
Phone number: 865-774-6471
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