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Individual
MICHELLE DUVALL BLANTON
Active
Individual
MICHELLE DUVALL BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202009368
PHARMACIST LICENSE
VA
01
—
8375
DOCTOR OF PHARMACY LICENS
TN
Enumeration date
05/09/2007
Last updated
07/08/2007
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