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1194194035
SHAWN BLACKBURN
DOVER, DE
NPI
1194194035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: DE c5-0001389)
Enumeration Date
2015-09-22
Last Update Date
2022-11-09
Business Address
SHAWN BLACKBURN PA
540 S GOVERNORS AVE STE 201
DOVER, DE 19904-3530
Phone number: 302-672-4600
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Mailing Address
SHAWN BLACKBURN PA
640 S. STATE STREET MAIL CODE 3055
DOVER, DE 19901-3530
Phone number: 302-480-1688
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