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Individual
MR. PHILIP DAVID BLALOCK I
Active
Individual
MR. PHILIP DAVID BLALOCK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SPEECH PATHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
439
NC
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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