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1437792223
BLAYNE BERRY
WICHITA FALLS, TX
NPI
1437792223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143687)
Enumeration Date
2019-10-24
Last Update Date
2023-12-29
Business Address
BLAYNE BERRY FNP
4327 BARNETT RD
WICHITA FALLS, TX 76310-2303
Phone number: 940-764-7000
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Mailing Address
BLAYNE BERRY FNP
2410 CLAYTON LN
WICHITA FALLS, TX 76308-3904
Phone number: 940-781-9198
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