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1609589225
MARYANN BLACKWELL
FORT WORTH, TX
NPI
1609589225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1092615)
Enumeration Date
2022-12-28
Last Update Date
2023-03-13
Business Address
MARYANN BLACKWELL APRN
1325 PENNSYLVANIA AVE STE 890
FORT WORTH, TX 76104-2145
Phone number: 817-250-7230
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Mailing Address
MARYANN BLACKWELL APRN
3001 GOLDENROD AVE
FORT WORTH, TX 76111-2728
Phone number: 682-330-8191
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