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1821020033
CHRISTY BLAKE
AMARILLO, TX
NPI
1821020033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TX 234120)
Enumeration Date
2006-07-07
Last Update Date
2009-06-05
Business Address
CHRISTY BLAKE NP
1400 COULTER
AMARILLO, TX 79106-1786
Phone number: 806-354-5630
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Mailing Address
CHRISTY BLAKE NP
1400 WALLACE BLVD ATTN: CREDENTIALING
AMARILLO, TX 79106-1708
Phone number: 806-354-5585
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