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Individual

BLAKELY GARRITY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
203 S SALEM ST, APEX, NC 27502-1824

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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