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1154743383
PHILIP DAVID BLALOCK
WINSTON SALEM, NC
NPI
1154743383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 439)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
Mr. PHILIP DAVID BLALOCK Speech Pathologist
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-8207
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Mailing Address
Mr. PHILIP DAVID BLALOCK Speech Pathologist
WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-8207
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