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Individual
BLAIR HENDERSHOT
Active
Individual
BLAIR HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2052
NV
Other
Enumeration date
04/21/2016
Last updated
06/17/2020
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