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1417594102
REBECCA J BLACKWELL
AUSTIN, TX
NPI
1417594102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: TX AP144164)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
Mrs. REBECCA J BLACKWELL
4900 MUELLER BLVD
AUSTIN, TX 78723-3079
Phone number: 512-324-0000
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Mailing Address
Mrs. REBECCA J BLACKWELL
3746 BAINBRIDGE ST
ROUND ROCK, TX 78681-2472
Phone number:
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