MARY L BLANKSON

NEW LONDON, CT
NPI1972587582
Former NameMARY E LAPLANTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CT  003321)
Enumeration Date2005-12-06
Last Update Date2013-11-29
Business Address
MARY L BLANKSON APRN
1 SHAWS CV
NEW LONDON, CT 06320-4902
Phone number: 860-447-8304
Mailing Address
MARY L BLANKSON APRN
575 MAIN ST FL 2 ATTN: CREDENTIALING DEPARTMENT
MIDDLETOWN, CT 06457-2845
Phone number: 860-347-6971
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