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1669247490
BLAKE WASSOM
SAN ANTONIO, TX
NPI
1669247490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: TX 67146)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
BLAKE WASSOM PharmD
5282 MEDICAL DR STE 250
SAN ANTONIO, TX 78229-6039
Phone number: 972-644-2100
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Mailing Address
BLAKE WASSOM PharmD
4502 MEDICAL DR
SAN ANTONIO, TX 78229-4402
Phone number: 210-358-4000
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