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BART BLAYLOCK, RN

RN

Administrator Registered Nurse

NPI: 1588341200Individual

Specialties, Licenses & Credentials

Registered Nurse — Case Management

Code: 163WC0400X

RN144618(AZ)

Registered Nurse — Administrator

Code: 163WA2000X

RN144618(AZ)

Contact & Hours

Address
15810 N 28TH AVE
PHOENIX, AZ 85053

Quick Facts

NPI
1588341200
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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