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1508554080
JOHN PARKER BLALOCK-CORNWEL
GOOSE CREEK, SC
NPI
1508554080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN060987)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
JOHN PARKER BLALOCK-CORNWEL LPN, CRCFA, ALCA
108 MCKELVEY PL
GOOSE CREEK, SC 29445-8215
Phone number: 912-341-7633
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Mailing Address
JOHN PARKER BLALOCK-CORNWEL LPN, CRCFA, ALCA
108 MCKELVEY PL
GOOSE CREEK, SC 29445-8215
Phone number: 912-341-7633
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