Miss. Mackenzie Blomquist
Miss. Mackenzie Blomquist is a Student in an Organized Health Care Education/Training Program in Normal, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
397 W Locust StNormal, IL 61761
Phone: (800) 366-2478
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1598462962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2023 |
| Last updated in NPPES | February 15, 2023 |
| Certification date | February 7, 2023 |
| Mailing address | 507 Manchester Rd, Normal, IL 61761-1519 |
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