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1427678986
BLAYNE ANNE KNAPP
PUEBLO, CO
NPI
1427678986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO TL.0008352)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
Dr. BLAYNE ANNE KNAPP DO
311 W 14TH ST
PUEBLO, CO 81003-2705
Phone number: 719-595-7585
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Mailing Address
Dr. BLAYNE ANNE KNAPP DO
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-595-7585
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