Individual
ASIA WYNN-BLUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 S. 39TH STREET APT 705, TEMPLE, TX 76504-7114
(850) 567-1899
Mailing address
2602 S. 39TH STREET APT 705, TEMPLE, TX 76504-7114
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/08/2016
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