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1457848111
KRISTINE NELLERMOE BLANKENDAAL
MIDLAND, TX
NPI
1457848111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 31328)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
KRISTINE NELLERMOE BLANKENDAAL
3500 N A ST STE 2400
MIDLAND, TX 79705-3610
Phone number: 432-550-5683
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Mailing Address
KRISTINE NELLERMOE BLANKENDAAL
3500 N A ST STE 2400
MIDLAND, TX 79705-3610
Phone number: 432-550-5683
Copy
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