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NPI Profile for RANDY BLIZZARD in LAS VEGAS, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Pastoral |
101YP1600X |
| NPI Number | 1619138195 |
|
| Status | Active | |
| Credentials | M.DIV., LPC | |
| Entity | Individual | |
| Enumeration date | 06/18/2008 | |
| Last updated | 01/25/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RANDY BLIZZARD
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RANDY BLIZZARD, M.DIV., LPC