AMANDA MARIE BLACKMON

KOKOMO, IN
NPI1184937591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  12011504A)
Enumeration Date2010-07-15
Last Update Date2010-07-15
Business Address
AMANDA MARIE BLACKMON DMD
2124 E BOULEVARD
KOKOMO, IN 46902-2401
Phone number: 765-454-9700
Mailing Address
AMANDA MARIE BLACKMON DMD
PO BOX 3189
SYRACUSE, NY 13220-3189
Phone number: 866-273-8204
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