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1316946718
SAILAJA M BLACKMON
FORT WAYNE, IN
NPI
1316946718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01043883A)
Enumeration Date
2005-07-18
Last Update Date
2023-04-05
Business Address
SAILAJA M BLACKMON M.D.
11123 PARKVIEW PLAZA DR SUITE 101
FORT WAYNE, IN 46845-1707
Phone number: 260-425-6650
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Mailing Address
SAILAJA M BLACKMON M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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