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Individual

PAUL HENRY BLALOCK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN

Contact information

Practice address
501 BUTLER FARM RD STE A, HAMPTON, VA 23666-1777
(757) 766-1921
Mailing address
100 BELLS ISLAND DR, HAMPTON, VA 23664-2100
(702) 438-8759

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
02/21/2021
Last updated
02/21/2021
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