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1083089478
IVA BLACKBURN
WILLIAMSVILLE, NY
NPI
1083089478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 322610)
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
-- IVA BLACKBURN LPN
2250 WEHRLE DR SUITE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
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Mailing Address
-- IVA BLACKBURN LPN
2250 WEHRLE DR SUITE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
Copy
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