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1598099483
SHANNON MICHEAL BLANTON
GREENSBORO, NC
NPI
1598099483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 181099)
Enumeration Date
2009-09-24
Last Update Date
2009-09-24
Business Address
Mr. SHANNON MICHEAL BLANTON
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-832-7784
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Mailing Address
Mr. SHANNON MICHEAL BLANTON
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number:
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