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1134316722
LINDSAY MARIE BLACKWELL
SAN JOSE, CA
NPI
1134316722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2007-09-27
Last Update Date
2007-09-27
Business Address
-- LINDSAY MARIE BLACKWELL
463 WOOSTER AVE APT D23
SAN JOSE, CA 95116-1096
Phone number: 408-712-0825
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Mailing Address
-- LINDSAY MARIE BLACKWELL
463 WOOSTER AVE APT D23
SAN JOSE, CA 95116-1096
Phone number: 408-712-0825
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