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1912094301
THOMAS L BLACKSTONE
WILMINGTON, NC
NPI
1912094301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 17469)
Enumeration Date
2006-10-06
Last Update Date
2016-06-02
Business Address
-- THOMAS L BLACKSTONE MD
3505 CONVERSE DR STE 200
WILMINGTON, NC 28403-6132
Phone number: 910-392-5634
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Mailing Address
-- THOMAS L BLACKSTONE MD
PO BOX 647
HOPE MILLS, NC 28348-0647
Phone number: 910-483-7337
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