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Brenda Blackman

Community Health Worker in Topeka, KS. Individual provider (NPI-1).

NPI number1801192539
StatusActive
Last updated in NPPESJan 27, 2011

Details

NPI
1801192539
Entity type
Individual (NPI-1)
Name
Brenda Blackman
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2011
Last updated
Jan 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

325 Sw Frazier Ave
Topeka, KS 66606-1963

Phone 785-232-5005

Mailing address

1220 Nw Mandell Rd
Topeka, KS 66618-1132

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