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1013507490
JAMIE BLACKIM
LAWRENCE, KS
NPI
1013507490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00996)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
JAMIE BLACKIM ATC, LAT
1901 LOUISIANA ST
LAWRENCE, KS 66046-2938
Phone number: 918-638-7807
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Mailing Address
JAMIE BLACKIM ATC, LAT
128 NELSON CIR
OLATHE, KS 66061-7608
Phone number: 918-638-7807
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