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1821845017
BLAYNE ELIZABETH FENNER
AUSTIN, TX
NPI
1821845017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX BP10088147)
Enumeration Date
2024-05-04
Last Update Date
2024-05-04
Business Address
BLAYNE ELIZABETH FENNER MD
1501 RED RIVER ST FL 2
AUSTIN, TX 78712-1845
Phone number: 512-495-5555
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Mailing Address
BLAYNE ELIZABETH FENNER MD
1501 RED RIVER ST FL 2
AUSTIN, TX 78712-1845
Phone number:
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