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Allison Rebekah Blaylock

Student in an Organized Health Care Education/Training Program in Lillington, NC. Individual provider (NPI-1).

NPI number1972129559
StatusActive
Last updated in NPPESJun 19, 2020

Details

NPI
1972129559
Entity type
Individual (NPI-1)
Name
Allison Rebekah Blaylock
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2020
Certification date
Jun 19, 2020
Last updated
Jun 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4350 Us 421 S
Lillington, NC 27546-6760

Phone 910-893-1210

Mailing address

1028 Vinson View Ct
Wake Forest, NC 27587-3725

Phone 919-538-4121

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Lillington, NC

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