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1134698921
REGINALD KARL BLACKMAN
TACOMA, WA
NPI
1134698921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
REGINALD KARL BLACKMAN
5929 WESTGATE BLVD STE A
TACOMA, WA 98406-2567
Phone number: 253-503-0226
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Mailing Address
REGINALD KARL BLACKMAN
3800 3RD ST SE
PUYALLUP, WA 98374-1109
Phone number: 253-304-7753
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