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1457950818
KASSIDY SHEA BLANTON
SHELBY, NC
NPI
1457950818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC blan-Q35QU)
Enumeration Date
2020-10-18
Last Update Date
2020-10-18
Business Address
KASSIDY SHEA BLANTON FNP
113 E GROVER ST
SHELBY, NC 28150-3803
Phone number: 704-487-5228
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Mailing Address
KASSIDY SHEA BLANTON FNP
114 KENDALLWOOD DR
SHELBY, NC 28152-9103
Phone number: 704-214-3284
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