BLAIR R MENDOZA

BOWLING GREEN, KY
NPI1710332648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3010020)
Enumeration Date2016-04-28
Last Update Date2017-02-10
Business Address
-- BLAIR R MENDOZA APRN
440 HIGH ST STE A
BOWLING GREEN, KY 42101-1707
Phone number: 270-282-7105
Mailing Address
-- BLAIR R MENDOZA APRN
104 MOHAWK ST
BROWNSVILLE, KY 42210-9006
Phone number: 270-597-2155
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