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1053692723
ANGELIQUE BLACKBURN
HENDERSON, NV
NPI
1053692723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-09-07
Last Update Date
2011-09-07
Business Address
-- ANGELIQUE BLACKBURN
2470 ALADDIN LAMP ST
HENDERSON, NV 89002-9375
Phone number: 702-439-1677
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Mailing Address
-- ANGELIQUE BLACKBURN
2470 ALADDIN LAMP ST
HENDERSON, NV 89002-9375
Phone number: 702-439-1677
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