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Individual

JAMES BLANCO I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6000 WELCH #15, EL PASO, TX 79903
(915) 408-7125
(915) 881-1116
Mailing address
1955 TRAWOOD #9, EL PASO, TX 79935
(915) 408-7125
(915) 881-1116

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22796
TX

Other

Enumeration date
06/08/2016
Last updated
06/08/2016
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