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1104483007
SHELBY BLALOCK
NEW HAVEN, CT
NPI
1104483007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P0200X Pharmacist, Pediatrics
(Licence: CT PCT.0014711)
Enumeration Date
2019-05-26
Last Update Date
2019-05-26
Business Address
SHELBY BLALOCK
55 PARK ST
NEW HAVEN, CT 06511-5474
Phone number: 270-227-1701
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Mailing Address
SHELBY BLALOCK
55 PARK ST
NEW HAVEN, CT 06511-5474
Phone number:
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