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1811008592
STEPHANIE FORD BLACHE
DALLAS, TX
NPI
1811008592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 501766)
Enumeration Date
2006-08-31
Last Update Date
2020-06-09
Business Address
STEPHANIE FORD BLACHE MS, RN, CPNP
8515 GREENVILLE AVE STE N108
DALLAS, TX 75243-7035
Phone number: 214-221-0855
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Mailing Address
STEPHANIE FORD BLACHE MS, RN, CPNP
7200 STATE HIGHWAY 161 SUITE 100
IRVING, TX 75039-2804
Phone number: 972-331-7200
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