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1801537816
BLAKE PHILIP VAN COURT
WINSTON SALEM, NC
NPI
1801537816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
BLAKE PHILIP VAN COURT MD
MEDICAL CENTER BLVD 3RD FLOOR WATLINGTON HALL
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
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Mailing Address
BLAKE PHILIP VAN COURT MD
978 PORTEOUS ST
NEW ORLEANS, LA 70124-3946
Phone number:
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