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1144933367
JENNIFER BLACKERBY
MIDLAND, TX
NPI
1144933367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
208000000X Pediatrics
(Licence: TX PA17192)
Enumeration Date
2023-01-03
Last Update Date
2023-11-13
Business Address
JENNIFER BLACKERBY
3600 N GARFIELD ST
MIDLAND, TX 79705-6329
Phone number: 432-620-1120
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Mailing Address
JENNIFER BLACKERBY
3700 N EDWARDS ST APT 626
MIDLAND, TX 79705-2712
Phone number: 432-620-1120
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