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Individual

ADAM SKYE BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
35 CASA ST STE 170, SAN LUIS OBISPO, CA 93405-1887
(800) 763-7732
Mailing address
35 CASA ST STE 170, SAN LUIS OBISPO, CA 93405-1887
(800) 763-7732

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A22291
CA

Other

Enumeration date
03/25/2021
Last updated
08/29/2024
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