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Individual
MRS. MARY COFFEY BLALOCK
Active
Individual
MRS. MARY COFFEY BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OB-GYN NURSE PRACT.
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0800049
NC
Other
Enumeration date
03/25/2006
Last updated
04/17/2015
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