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1063570679
JEFFREY LEE BLACKBURN
LANSING, MI
NPI
1063570679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 11779)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY LEE BLACKBURN DDS
2500 EAST JOLLY ROAD
LANSING, MI 48910
Phone number: 517-393-8500
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Mailing Address
Dr. JEFFREY LEE BLACKBURN DDS
2500 EAST JOLLY ROAD
LANSING, MI 48910
Phone number: 517-393-8500
Copy
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