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1114591203
TAYLOR BLACKWOOD
LUBBOCK, TX
NPI
1114591203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
TAYLOR BLACKWOOD DO
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-1000
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Mailing Address
TAYLOR BLACKWOOD DO
2556 STADIUM DR
FORT WORTH, TX 76109-1369
Phone number:
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