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Mrs. SUSAN ELLEN BLAKELY -- RN

Individual Provider (NPI-1) Active

Registered Nurse

Provider Information

NPI Number
1538398698
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
1563 N MAIN ST, FALL RIVER, MA, 027202983
Phone
(508) 324-0328
Fax
(508) 679-8590

Specialties & Taxonomies

Registered Nurse Primary License: MA #275476
Registered Nurse License: RI #19539

All Addresses

MAILING

65 BUCKWHEAT AVE

PORTSMOUTH, RI, 028711101

(401) 924-4763

LOCATION

1563 N MAIN ST

FALL RIVER, MA, 027202983

(508) 324-0328