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1912054321
JANETTA R. BLACKMORE
FORT SAM HOUSTON, TX
NPI
1912054321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT81546)
Enumeration Date
2007-01-05
Last Update Date
2019-12-10
Business Address
JANETTA R. BLACKMORE R.D.
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-1688
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Mailing Address
JANETTA R. BLACKMORE R.D.
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 915-472-0971
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