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Individual

HERBERT A BLASSENGALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CH

Contact information

Practice address
713 PENDLETON ST, GREENVILLE, SC 29601-3321
(864) 232-5488
(864) 232-5388
Mailing address
713 PENDLETON STREET, GREENVILLE, SC 29601-3307
(864) 232-5488
(864) 232-5388

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1782
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GCH354
SC
Enumeration date
03/14/2006
Last updated
07/15/2008
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