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1891107173
MIRANDA M BLEVINS
JOHNSON CITY, TN
NPI
1891107173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TN 3941)
Enumeration Date
2014-05-21
Last Update Date
2021-03-05
Business Address
MIRANDA M BLEVINS DO
301 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604-2641
Phone number: 423-794-1300
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Mailing Address
MIRANDA M BLEVINS DO
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-1300
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