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1164669255
BLACKBIRD CLINICAL SERVICES, LLC
LAFAYETTE, IN
NPI
1164669255
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Entity Type
Organization
Authorized Contact
KIMI L. HATHAWAY
President/ CEO
765-447-8700
Organization Subpart ?
No
Primary Taxonomy
251K00000X Public Health or Welfare
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
BLACKBIRD CLINICAL SERVICES, LLC
2 EXECUTIVE DR STE D
LAFAYETTE, IN 47905-4878
Phone number: 765-447-8700
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Mailing Address
BLACKBIRD CLINICAL SERVICES, LLC
2 EXECUTIVE DR STE D
LAFAYETTE, IN 47905-4878
Phone number: 765-447-8700
Copy
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