GREGARY M. BLACKNER INC. P.S.

OLYMPIA, WA
NPI1326146754
Entity TypeOrganization
Authorized ContactGREGARY M BLACKNER
Owner
360-786-1297
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  26210)
Enumeration Date2006-09-20
Last Update Date2010-08-30
Business Address
GREGARY M. BLACKNER INC. P.S.
403 BLACK HILLS LN SW B
OLYMPIA, WA 98502-8600
Phone number: 360-786-1297
Mailing Address
GREGARY M. BLACKNER INC. P.S.
403 BLACK HILLS LN SW STE B
OLYMPIA, WA 98502-8600
Phone number: 360-786-1297
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