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1609319052
RAUVI VIDAD BLACKWELL
LEWISVILLE, TX
NPI
1609319052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP132753)
Enumeration Date
2016-12-02
Last Update Date
2016-12-06
Business Address
Ms. RAUVI VIDAD BLACKWELL
860 HEBRON PKWY SUITE 1101
LEWISVILLE, TX 75057-5151
Phone number: 469-444-2244
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Mailing Address
Ms. RAUVI VIDAD BLACKWELL
1208 SUNDOWN DR
FLOWER MOUND, TX 75028-3998
Phone number: 469-993-4920
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