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1417054875
TERRY DEAN BLACKWELL
FORT LIBERTY, NC
NPI
1417054875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-09-20
Last Update Date
2024-11-08
Business Address
TERRY DEAN BLACKWELL PA-C
BLDG 2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8922
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Mailing Address
TERRY DEAN BLACKWELL PA-C
905 WATTLE BIRD DRIVE
FAYETTEVILLE, NC 28312
Phone number: 910-644-4283
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