DAVID JUSTIN BLALOCK

WAUCHULA, FL
NPI1922076124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP2833192)
Enumeration Date2006-03-14
Last Update Date2013-08-26
Business Address
-- DAVID JUSTIN BLALOCK ARNP
515 CARLTON ST
WAUCHULA, FL 33873-3407
Phone number: 863-773-6606
Mailing Address
-- DAVID JUSTIN BLALOCK ARNP
515 CARLTON ST
WAUCHULA, FL 33873-3407
Phone number: 863-773-6606
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