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1144338211
DAVID BLACKMON
PONTE VEDRA BEACH, FL
NPI
1144338211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY0004360)
Enumeration Date
2006-08-28
Last Update Date
2013-10-10
Business Address
-- DAVID BLACKMON Ph.D.
330 A1A N STE 325
PONTE VEDRA BEACH, FL 32082-1826
Phone number: 904-333-3389
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Mailing Address
-- DAVID BLACKMON Ph.D.
330 A1A N STE 325
PONTE VEDRA BEACH, FL 32082-1826
Phone number: 904-333-3389
Copy
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