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1134280662
SHARI A BLACKMON
PUEBLO, CO
NPI
1134280662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CO 42193)
Enumeration Date
2006-12-12
Last Update Date
2016-02-08
Business Address
-- SHARI A BLACKMON M.D.
400 W. 16TH
PUEBLO, CO 81003
Phone number: 719-584-4767
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Mailing Address
-- SHARI A BLACKMON M.D.
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4767
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