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1386054781
STEPHEN C BLACKMON
LUMBERTON, NC
NPI
1386054781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5006856)
Enumeration Date
2014-05-07
Last Update Date
2014-05-07
Business Address
-- STEPHEN C BLACKMON FNP
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
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Mailing Address
-- STEPHEN C BLACKMON FNP
2600 N ELM ST
LUMBERTON, NC 28358-3011
Phone number: 910-671-5290
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