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1144001611
BLAINE MITCHELL PANTANO
HOUSTON, TX
NPI
1144001611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1138829)
Enumeration Date
2023-10-11
Last Update Date
2023-10-30
Business Address
BLAINE MITCHELL PANTANO APRN
7000 FANNIN ST
HOUSTON, TX 77030-5400
Phone number: 832-880-5446
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Mailing Address
BLAINE MITCHELL PANTANO APRN
6431 FANNIN ST. MSB 1.255E
HOUSTON, TX 77030-5400
Phone number: 832-880-5446
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