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1447299979
SHELBY LARUE BLANK
TALLAHASSEE, FL
NPI
1447299979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME95568)
Enumeration Date
2006-06-06
Last Update Date
2018-03-29
Business Address
SHELBY LARUE BLANK MD
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308-4638
Phone number: 850-431-2100
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Mailing Address
SHELBY LARUE BLANK MD
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308-4638
Phone number: 850-431-2100
Copy
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