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1013571363
CHAD L BLACKBURN
NEW ORLEANS, LA
NPI
1013571363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA Pending)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
CHAD L BLACKBURN DDS
4232 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117-5339
Phone number: 504-947-2958
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Mailing Address
CHAD L BLACKBURN DDS
3005 TRANSCONTINENTAL DR
METAIRIE, LA 70006-5124
Phone number: 918-774-5457
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