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1790523603
ANDREA MECHELLE WASHINGTON BLACKSHEAR
FORT WORTH, TX
NPI
1790523603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 313070)
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
ANDREA MECHELLE WASHINGTON BLACKSHEAR
10172 DEER GLEN TRL
FORT WORTH, TX 76140-6521
Phone number: 817-999-3957
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Mailing Address
ANDREA MECHELLE WASHINGTON BLACKSHEAR
10172 DEER GLEN TRL
FORT WORTH, TX 76140-6521
Phone number: 817-999-3957
Copy
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