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1073720702
MICHAEL WARNER BLACKSTONE
BIRMINGHAM, AL
NPI
1073720702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-05-16
Last Update Date
2011-05-10
Business Address
MICHAEL WARNER BLACKSTONE MD
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-5038
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Mailing Address
MICHAEL WARNER BLACKSTONE MD
2621 KEMP CT
BIRMINGHAM, AL 35226-1982
Phone number:
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