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Individual

DR. ELLEN KAY BLAIR

Active
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Individual

DR. ELLEN KAY BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101046579
VA
207R00000X
Internal Medicine Physician
Primary
2008-00079
NC
207R00000X
Internal Medicine Physician
MD033736E
PA

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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