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1245287416
LAWRENCE BLELLOCH
RALEIGH, NC
NPI
1245287416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101803)
Enumeration Date
2006-05-31
Last Update Date
2024-05-25
Business Address
LAWRENCE BLELLOCH PA
6512 SIX FORKS RD SUITE 102B
RALEIGH, NC 27615-6561
Phone number: 919-870-8845
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Mailing Address
LAWRENCE BLELLOCH PA
6512 SIX FORKS RD SUITE 102B
RALEIGH, NC 27615-6561
Phone number: 919-870-8845
Copy
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