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Penjit Blakely
NPI 1588841258 · on the registry since 2008
Practice
- Address
- 4412 73rd Pl
Urbandale, IA 50322 - Phone
- (515) 252-8689
- Fax
- (515) 276-3663
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa