TODD BLACKBURN

LOGAN, WV
NPI1295249134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-11-30
Last Update Date2017-11-30
Business Address
TODD BLACKBURN
313 HUDGINS ST
LOGAN, WV 25601-3535
Phone number: 304-752-7830
Mailing Address
TODD BLACKBURN
313 HUDGINS ST
LOGAN, WV 25601-3535
Phone number: 304-752-7830
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