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1083936181
LARRY VAUGHN BLAIR
BURNSVILLE, MN
NPI
1083936181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 10727)
Enumeration Date
2010-02-17
Last Update Date
2024-09-25
Business Address
LARRY VAUGHN BLAIR L.I.C.S.W.
2970 JUDICIAL ROAD SUITE 100
BURNSVILLE, MN 55337
Phone number: 952-224-8990
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Mailing Address
LARRY VAUGHN BLAIR L.I.C.S.W.
2970 JUDICIAL ROAD SUITE 100
BURNSVILLE, MN 55337
Phone number: 952-224-8990
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