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1407935182
TIMOTHY DWAYNE BLOCKER
GREENSBORO, NC
NPI
1407935182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 070399)
Enumeration Date
2006-11-03
Last Update Date
2007-07-09
Business Address
-- TIMOTHY DWAYNE BLOCKER CRNA
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-832-7000
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Mailing Address
-- TIMOTHY DWAYNE BLOCKER CRNA
PO BOX 26580
GREENSBORO, NC 27415-6580
Phone number: 336-832-7786
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