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1265907414
JEANNE BLAKESLEE
SOUTHLAKE, TX
NPI
1265907414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 577068)
Enumeration Date
2018-10-03
Last Update Date
2023-03-28
Business Address
JEANNE BLAKESLEE PMHNP
1100 E SOUTHLAKE BLVD STE 300
SOUTHLAKE, TX 76092-6350
Phone number: 178-873-0595
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Mailing Address
JEANNE BLAKESLEE PMHNP
101 W COOPERATIVE WAY STE 110
GEORGETOWN, TX 78626-8209
Phone number: 178-873-0595
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