Blanche Eaton
Blanche Eaton is a Preferred Provider Organization in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2014
Practice location Address checks out
1502 W Broadway AveMinneapolis, MN 55411-2408
Phone: (612) 529-2399
Fax: (612) 529-2399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 3675466 (MN) |
|---|
Record details
| NPI number | 1629477633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | August 14, 2014 |
| Mailing address | 1502 W Broadway Ave, Minneapolis, MN 55411-2408 |
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