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1669614160
ALISHA MICHELE BLAYLOCK
JOHNSON CITY, TN
NPI
1669614160
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Professional Name
A. MICHELE BLAYLOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN RN0000121665)
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
-- ALISHA MICHELE BLAYLOCK BSN
200 W FAIRVIEW AVE
JOHNSON CITY, TN 37604-5611
Phone number: 423-467-3600
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Mailing Address
-- ALISHA MICHELE BLAYLOCK BSN
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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