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Individual

CHARMAINE M BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2489 STELZER RD, SUITE 101, COLUMBUS, OH 43219-3129
(614) 473-1300
(614) 473-0722
Mailing address
2489 STELZER RD, SUITE 101, COLUMBUS, OH 43219-3129
(614) 473-1300
(614) 473-0722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-2434
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2138458
OH
Enumeration date
12/05/2005
Last updated
02/22/2011
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