New Jersey
Division of Consumer Affairs
Denise N. Blackbourne
Physician Assistant
License number
25MP00258800
Date granted
07/11/2011
Date expires
08/31/2015
Class
Physician Assistant
Status
Active
licensingnj.com
ID 9702440
LAST UPDATED 2024-05-15 23:11:06 UTC
LAST UPDATED 2024-05-15 23:11:06 UTC
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