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1366781163
MICHELLE LYN BLAKLEY
COLUMBIA, SC
NPI
1366781163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18126)
Enumeration Date
2013-02-14
Last Update Date
2018-03-16
Business Address
MICHELLE LYN BLAKLEY FNP-BC
100 PALMETTO HEALTH PKWY SUITE 220
COLUMBIA, SC 29212-1753
Phone number: 803-907-7700
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Mailing Address
MICHELLE LYN BLAKLEY FNP-BC
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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