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1235237934
KATHLEEN H BLACKBURN
BOISE, ID
NPI
1235237934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID m6120)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- KATHLEEN H BLACKBURN M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
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Mailing Address
-- KATHLEEN H BLACKBURN M.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1108
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