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1902613169
BLUE GIBBOUS, INC
AUSTIN, TX
NPI
1902613169
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Entity Type
Organization
Authorized Contact
DEANDRE BLUITT
Psychiatrist
903-272-7744
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2024-12-11
Last Update Date
2024-12-11
Business Address
BLUE GIBBOUS, INC
212 W HIGHLAND MALL BLVD UNIT 493
AUSTIN, TX 78752-3881
Phone number: 903-272-7744
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Mailing Address
BLUE GIBBOUS, INC
212 W HIGHLAND MALL BLVD UNIT 493
AUSTIN, TX 78752-3881
Phone number: 903-272-7744
Copy
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