JASON BARRY BLACKBURN

SOUTHFIELD, MI
NPI1306344049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704286557)
Enumeration Date2018-01-29
Last Update Date2018-01-29
Business Address
JASON BARRY BLACKBURN CRNA
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-2037
Mailing Address
JASON BARRY BLACKBURN CRNA
21921 TROMBLY ST
SAINT CLAIR SHORES, MI 48080-1282
Phone number: 586-899-0774
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