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1780023697
BLAINE EDWARD WIECK
AMARILLO, TX
NPI
1780023697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 29187)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
Dr. BLAINE EDWARD WIECK DDS
2401 COMMERCE ST
AMARILLO, TX 79109-1513
Phone number: 806-358-7633
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Mailing Address
Dr. BLAINE EDWARD WIECK DDS
2401 COMMERCE ST
AMARILLO, TX 79109-1513
Phone number: 806-358-7633
Copy
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