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1336871011
BLAKE LANDON SMITH
SALISBURY, NC
NPI
1336871011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-12327)
Enumeration Date
2022-06-30
Last Update Date
2022-08-19
Business Address
BLAKE LANDON SMITH PA
810 MITCHELL AVE
SALISBURY, NC 28144-6253
Phone number: 336-870-7093
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Mailing Address
BLAKE LANDON SMITH PA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-216-5633
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