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1205947033
BLAKE ELDEN WAYMAN
EL PASO, TX
NPI
1205947033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: TX 12342)
Enumeration Date
2006-08-31
Last Update Date
2012-08-15
Business Address
DR. BLAKE ELDEN WAYMAN
6901 HELEN OF TROY DRIVE, BLDG C
EL PASO, TX 79911-3043
Phone number: 915-581-8090
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Mailing Address
DR. BLAKE ELDEN WAYMAN
6024 UPPER VALLEY RD
EL PASO, TX 79932-4305
Phone number:
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