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Individual
MRS. KELLY G BLAIR
Active
Individual
MRS. KELLY G BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27548
TX
1223G0001X
General Practice Dentistry
DE00010345
WA
Other
Enumeration date
11/17/2006
Last updated
05/08/2018
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