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1073715652
LATASHA BLACKMON
BURLINGTON, NJ
NPI
1073715652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: NJ NA0006801533)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
LATASHA BLACKMON CNA
261 CONNECTICUT DR SUITE 5
BURLINGTON, NJ 08016-4177
Phone number: 800-950-6066
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Mailing Address
LATASHA BLACKMON CNA
410 PECKS BEACH VLG
OCEAN CITY, NJ 08226-3922
Phone number:
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