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1265172779
MICHELLE LEE BLACKBURN
AUSTIN, TX
NPI
1265172779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1029771)
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
MICHELLE LEE BLACKBURN FNP
12600 HILL COUNTRY BLVD BLDG R-103
AUSTIN, TX 78738-6891
Phone number: 512-358-8180
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Mailing Address
MICHELLE LEE BLACKBURN FNP
5625 EIGER RD STE 200
AUSTIN, TX 78735-8982
Phone number: 512-892-7076
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