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Individual

BLANE SCOTT GASPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST,CSFA,CSA

Contact information

Practice address
1800 MEDICAL CENTER PKWY STE 120, MURFREESBORO, TN 37129-2568
(615) 849-7500
Mailing address
2339 TORTUGA CT, MURFREESBORO, TN 37127-6705
(615) 635-9120

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
150335
TN
246ZS0410X
Surgical Technologist
4364
TN

Other

Enumeration date
06/04/2014
Last updated
06/04/2014
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