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1790790483
ELIZABETH BOLES BLANKENSHIP
WINSTON SALEM, NC
NPI
1790790483
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Former Name
ELIZABETH ANN BOLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 1000477)
Enumeration Date
2006-07-30
Last Update Date
2010-11-15
Business Address
-- ELIZABETH BOLES BLANKENSHIP PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- ELIZABETH BOLES BLANKENSHIP PA
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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