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1346002482
JOHNNY BLACKMON
CLEARFIELD, UT
NPI
1346002482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
JOHNNY BLACKMON
1550 S 1000 E
CLEARFIELD, UT 84015-1646
Phone number: 385-456-6275
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Mailing Address
JOHNNY BLACKMON
2053 S 800 E
CLEARFIELD, UT 84015-6244
Phone number:
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