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1427630987
BLAKE W JEFFERSON
LUBBOCK, TX
NPI
1427630987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-04-24
Last Update Date
2021-04-24
Business Address
BLAKE W JEFFERSON M.S. CF-SLP
5225 S LOOP 289 # 2
LUBBOCK, TX 79424-1363
Phone number: 806-780-4180
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Mailing Address
BLAKE W JEFFERSON M.S. CF-SLP
5220 SPRING VALLEY RD STE 400
DALLAS, TX 75254-2512
Phone number: 214-466-1340
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