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1053657189
KELLY KEUNEKE BLAZEK
HOUSTON, TX
NPI
1053657189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX BP10042984)
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
-- KELLY KEUNEKE BLAZEK MD
1 BAYLOR PLZ BCM610
HOUSTON, TX 77030-3411
Phone number: 832-826-7315
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Mailing Address
-- KELLY KEUNEKE BLAZEK MD
6301 ALMEDA RD APT 615
HOUSTON, TX 77021
Phone number:
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