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Individual

MR. GEORGE BRYAN BLALOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
110 CAPCOM AVE, STE 101, WAKE FOREST, NC 27587-6531
(919) 554-2699
Mailing address
110 CAPCOM AVE, STE 101, WAKE FOREST, NC 27587-6531
(919) 554-2699

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12534
NC

Other

Enumeration date
09/30/2008
Last updated
09/30/2008
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