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1881280675
STEFANI BLACKBURN
WINNSBORO, TX
NPI
1881280675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2153234)
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
STEFANI BLACKBURN
406 S MAIN ST
WINNSBORO, TX 75494-3226
Phone number: 903-342-6790
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Mailing Address
STEFANI BLACKBURN
128 PATTERSON ST
COPPERAS COVE, TX 76522-4617
Phone number: 325-248-7751
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