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Individual
CHRISTINA RUTH BLATCHFORD
Active
Individual
CHRISTINA RUTH BLATCHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9307
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9307
STATE LICENSE
OR
Enumeration date
07/25/2009
Last updated
07/25/2009
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