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1508692492
ISABELA BLACKWELL
DALLAS, TX
NPI
1508692492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 6702)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
ISABELA BLACKWELL
4055 VALLEY VIEW LN
DALLAS, TX 75244-5074
Phone number: 855-984-5121
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Mailing Address
ISABELA BLACKWELL
PO BOX 297
MILFORD, CT 06460-0297
Phone number:
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