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1952736811
MYLISSA BLAYNE ALEXANDER
GRANBURY, TX
NPI
1952736811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 683870)
Enumeration Date
2013-09-11
Last Update Date
2021-04-14
Business Address
MYLISSA BLAYNE ALEXANDER APRN, FNP-C
3906 E US HIGHWAY 377 SUITE 100
GRANBURY, TX 76049-7608
Phone number: 817-279-1390
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Mailing Address
MYLISSA BLAYNE ALEXANDER APRN, FNP-C
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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