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1093437030
MICHAEL BLACKBURN
LOUISA, KY
NPI
1093437030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
MICHAEL BLACKBURN TCM
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
MICHAEL BLACKBURN TCM
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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