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1437136629
PENELOPE M BLALACK
SAN ANTONIO, TX
NPI
1437136629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX k5457)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
Dr. PENELOPE M BLALACK MD
287 THORAIN BLVD
SAN ANTONIO, TX 78212-1229
Phone number: 775-426-9632
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Mailing Address
Dr. PENELOPE M BLALACK MD
1802 ENNIS JOSLIN RD #318
CORPUS CHRISTI, TX 78412-4338
Phone number:
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