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1861043390
CRISTY MCMANUS BLACKMON
LANCASTER, SC
NPI
1861043390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22931)
Enumeration Date
2019-09-25
Last Update Date
2019-11-26
Business Address
CRISTY MCMANUS BLACKMON
800 W MEETING ST
LANCASTER, SC 29720-2202
Phone number: 803-286-1214
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Mailing Address
CRISTY MCMANUS BLACKMON
PO BOX 603898
CHARLOTTE, NC 28260-3898
Phone number: 843-792-6200
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