TRACI LAUREN BLAKEBURN

ROCK HILL, SC
NPI1861122749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: SC  26907)
Enumeration Date2022-06-14
Last Update Date2023-06-14
Business Address
TRACI LAUREN BLAKEBURN AG-ACNP
196 CARDIOLOGY DR
ROCK HILL, SC 29732-1174
Phone number: 803-324-5135
Mailing Address
TRACI LAUREN BLAKEBURN AG-ACNP
6136 HOLLAND ST
INDIAN LAND, SC 29707-7011
Phone number: 615-513-0082
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