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Miss Mackenzie Blomquist
Student in an Organized Health Care Education/Training Program in Normal, Illinois
NPI 1598462962

Mackenzie Blomquist is a Student in an Organized Health Care Education/Training Program based in Normal, IL. Mackenzie Blomquist practices in Normal, IL. The NPI Number for Mackenzie Blomquist is 1598462962 and holds a License No. (Illinois).

The current practice location address for Mackenzie Blomquist is 397 W Locust St, Normal, IL and can be reached out via phone at 800-366-2478.

Location: 397 W Locust St, Normal, IL, 61761-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598462962
Provider Name
Mackenzie Blomquist
Credential
Provider Entity Type
Individual
Gender
Female
Address
397 W Locust St, Normal, IL, 61761-1519
Phone Number
800-366-2478
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
397 W Locust St
City
Normal
State
Illinois
Zip
61761
Phone Number
800-366-2478
Fax Number
person
Provider Business Mailing Address Details
Address
397 W Locust St
City
Normal
State
Illinois
Zip
61761
Phone Number
800-366-2478
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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