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1518508191
ELISABETH BLANK
AUSTIN, TX
NPI
1518508191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143338)
Enumeration Date
2019-10-04
Last Update Date
2021-10-06
Business Address
ELISABETH BLANK
3828 S 1ST ST
AUSTIN, TX 78704-7048
Phone number: 512-443-1311
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Mailing Address
ELISABETH BLANK
6210 E HWY 290
AUSTIN, TX 78723-1142
Phone number:
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