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1770923682
BRANDON JAY BLANK
WINSTON SALEM, NC
NPI
1770923682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04304)
Enumeration Date
2013-06-25
Last Update Date
2020-10-29
Business Address
Mr. BRANDON JAY BLANK PA-C
3333 SILAS CREEK PKWY EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103-3013
Phone number: 336-765-9328
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Mailing Address
Mr. BRANDON JAY BLANK PA-C
P.O. BOX 25477 FORSYTH EMERGENCY SERVICES P.A.
WINSTON SALEM, NC 27114-5447
Phone number: 336-765-9328
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