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1952755613
BLAIRE BLACK
AMARILLO, TX
NPI
1952755613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 111234)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- BLAIRE BLACK
1901 MEDI PARK DR SUITE #2048
AMARILLO, TX 79106-2110
Phone number: 806-353-2101
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Mailing Address
-- BLAIRE BLACK
305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200
HURST, TX 76053-7209
Phone number: 817-292-8787
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