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1649262312
WILLIAM J BLACKLEY
STATESVILLE, NC
NPI
1649262312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 20527)
Enumeration Date
2005-08-18
Last Update Date
2008-01-24
Business Address
-- WILLIAM J BLACKLEY M.D.
619 SULLIVAN RD
STATESVILLE, NC 28677-3437
Phone number: 704-924-9111
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Mailing Address
-- WILLIAM J BLACKLEY M.D.
650 SIGNAL HILL DRIVE EXT PO BOX 1845
STATESVILLE, NC 28625-4353
Phone number: 704-873-4277
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