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1912548249
MIRIAM GRACE BLASINGAME
WACO, TX
NPI
1912548249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP143373)
Enumeration Date
2019-10-08
Last Update Date
2020-08-20
Business Address
Mrs. MIRIAM GRACE BLASINGAME NP-C
150 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-4000
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Mailing Address
Mrs. MIRIAM GRACE BLASINGAME NP-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-727-2111
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