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1265413264
ALICE T BLACKMON
SAN ANTONIO, TX
NPI
1265413264
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Other Name
ALICIA T BLACKMON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX AP108315)
Enumeration Date
2005-11-08
Last Update Date
2024-09-12
Business Address
ALICE T BLACKMON PNP-C
7323 MARBACH RD STE 104
SAN ANTONIO, TX 78227-1905
Phone number: 210-674-0257
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Mailing Address
ALICE T BLACKMON PNP-C
7323 MARBACH RD STE 104
SAN ANTONIO, TX 78227-1905
Phone number: 210-645-4305
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