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1871128512
TRINA BLAIR DALE
WINSTON SALEM, NC
NPI
1871128512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10718)
Enumeration Date
2020-03-03
Last Update Date
2021-06-14
Business Address
TRINA BLAIR DALE
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103-6951
Phone number: 336-718-3550
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Mailing Address
TRINA BLAIR DALE
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-718-3550
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