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1003870601
GEORGE MAURY BLACKBURN
AUSTIN, TX
NPI
1003870601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 10496)
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
Dr. GEORGE MAURY BLACKBURN D.M.D., F.A.G.D.
12505 HYMEADOW DR SUITE 2D
AUSTIN, TX 78750-1867
Phone number: 512-258-3627
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Mailing Address
Dr. GEORGE MAURY BLACKBURN D.M.D., F.A.G.D.
12505 HYMEADOW DR SUITE 2D
AUSTIN, TX 78750-1867
Phone number: 512-258-3627
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