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1770207110
BRANDY LYNN BLANKENSHIP
SOUTH PORTLAND, ME
NPI
1770207110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ME Lpn13866)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
BRANDY LYNN BLANKENSHIP LPN
400 WESTERN AVE APT 1
SOUTH PORTLAND, ME 04106-1704
Phone number: 207-405-0003
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Mailing Address
BRANDY LYNN BLANKENSHIP LPN
30 WINNOCKS NECK RD APT 1
SCARBOROUGH, ME 04074-8599
Phone number:
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