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1871802785
DIETRA BLEVINS
SUGAR LAND, TX
NPI
1871802785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: CNIM 353)
Enumeration Date
2010-09-28
Last Update Date
2010-09-28
Business Address
-- DIETRA BLEVINS CNIM
1449 HIGHWAY 6 SUITE 300
SUGAR LAND, TX 77478-5145
Phone number: 281-768-6730
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Mailing Address
-- DIETRA BLEVINS CNIM
1449 HIGHWAY 6 SUITE 300
SUGAR LAND, TX 77478-5145
Phone number: 281-768-6730
Copy
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