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1396850160
STEPHANIE BLANTON
SHELBY, NC
NPI
1396850160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103320)
Enumeration Date
2006-08-20
Last Update Date
2022-04-06
Business Address
STEPHANIE BLANTON PA
111 W GROVER ST
SHELBY, NC 28150-3824
Phone number: 704-482-1006
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Mailing Address
STEPHANIE BLANTON PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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