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1770004442
MARY REBECCA BLANKENSHIP
TALLADEGA, AL
NPI
1770004442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-101322)
Enumeration Date
2017-07-03
Last Update Date
2017-07-03
Business Address
MARY REBECCA BLANKENSHIP
837 BATTLE ST E
TALLADEGA, AL 35160-2670
Phone number: 256-649-8134
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Mailing Address
MARY REBECCA BLANKENSHIP
1500 1ST AVE N
BIRMINGHAM, AL 35203-1865
Phone number:
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