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1114446671
JAMES LUKE BLACKWELL
MODESTO, CA
NPI
1114446671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-09-15
Last Update Date
2017-09-15
Business Address
JAMES LUKE BLACKWELL
1225 OAKDALE RD
MODESTO, CA 95355-3357
Phone number: 209-557-6200
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Mailing Address
JAMES LUKE BLACKWELL
1225 OAKDALE RD
MODESTO, CA 95355-3357
Phone number:
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