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Individual

CAROLYN JANET BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
Mailing address
600 SHERWOOD RD, COCKEYSVILLE, MD 21030-2640
(410) 913-1911

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004603
MD

Other

Enumeration date
09/27/2011
Last updated
09/27/2011
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