KELLY M BLACKBURN

WAUKESHA, WI
NPI1255668208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WI  170106030)
Enumeration Date2009-11-12
Last Update Date2013-05-22
Business Address
-- KELLY M BLACKBURN RN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
-- KELLY M BLACKBURN RN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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