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1255602355
BLACKWELL HMPN, LLC
BLACKWELL, OK
NPI
1255602355
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Entity Type
Organization
Authorized Contact
MICHAEL L GINGRAS
Vice President
239-598-3131
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-01-20
Last Update Date
2012-11-26
Business Address
BLACKWELL HMPN, LLC
1005 W DOOLIN AVE
BLACKWELL, OK 74631-1350
Phone number: 580-363-9466
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Mailing Address
BLACKWELL HMPN, LLC
5811 PELICAN BAY BLVD SUITE 500
NAPLES, FL 34108-2733
Phone number: 239-598-3131
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