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Individual

MARIO DAVID BLOUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
754 BRIGHTRIDGE DR, BRIDGEPORT, WV 26330-1170
(304) 842-7257
Mailing address
754 BRIGHTRIDGE DR, BRIDGEPORT, WV 26330-1170
(304) 842-7257

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004421
WV

Other

Enumeration date
02/28/2010
Last updated
02/28/2010
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