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1790805562
MARK A BLAIR
LOUISVILLE, KY
NPI
1790805562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: KY 4851)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
DR. MARK A BLAIR D.M.D.
3101 BRECKENRIDGE LN 1-D
LOUISVILLE, KY 40220-2742
Phone number: 502-458-0172
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Mailing Address
DR. MARK A BLAIR D.M.D.
3101 BRECKENRIDGE LN 1-D
LOUISVILLE, KY 40220-2742
Phone number: 502-458-0172
Copy
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