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1255623781
JAMES REX BLACKBURN
IDAHO FALLS, ID
NPI
1255623781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-05-02
Last Update Date
2011-05-02
Business Address
-- JAMES REX BLACKBURN BS
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-7500
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Mailing Address
-- JAMES REX BLACKBURN BS
1740 E 17TH ST
IDAHO FALLS, ID 83404-6375
Phone number:
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