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1235470071
TASHYA A BLACKLOCK
DALLAS, TX
NPI
1235470071
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Former Name
TASHYA A JAMES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08196)
Enumeration Date
2013-03-04
Last Update Date
2019-03-11
Business Address
Ms. TASHYA A BLACKLOCK PA
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-590-5706
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Mailing Address
Ms. TASHYA A BLACKLOCK PA
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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