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1891164349
BLAIR BROCKMAN
PADUCAH, KY
NPI
1891164349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3009743)
Enumeration Date
2015-09-15
Last Update Date
2020-12-08
Business Address
BLAIR BROCKMAN APRN
2601 KENTUCKY AVE SUITE 301
PADUCAH, KY 42003-3817
Phone number: 270-575-3113
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Mailing Address
BLAIR BROCKMAN APRN
2605 KENTUCKY AVE SUITE 306
PADUCAH, KY 42003-3800
Phone number: 270-415-7653
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