MATTHEW BLACKMON

LA PORTE, IN
NPI1073970521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08002885A)
Enumeration Date2016-01-27
Last Update Date2018-01-13
Business Address
Dr. MATTHEW BLACKMON DC
204 LEGACY PLZ W
LA PORTE, IN 46350-5285
Phone number: 219-476-7246
Mailing Address
Dr. MATTHEW BLACKMON DC
219 E IRELAND RD
SOUTH BEND, IN 46614-2653
Phone number: 574-291-1000
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