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1255626065
BLAKE GRIMES BAREFOOT
WILMINGTON, NC
NPI
1255626065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ND 12093)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
Mr. BLAKE GRIMES BAREFOOT R.Ph.
4711 NEW CENTRE DR
WILMINGTON, NC 28405-3442
Phone number: 910-395-0749
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Mailing Address
Mr. BLAKE GRIMES BAREFOOT R.Ph.
5167 NICHOLAS CRK
WILMINGTON, NC 28409-2356
Phone number: 910-452-7587
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