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1356153431
SAVANNA BLACKWELL
LOGANDALE, NV
NPI
1356153431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2025-01-24
Last Update Date
2025-01-24
Business Address
SAVANNA BLACKWELL
2400 ST JOSEPH ST
LOGANDALE, NV 89021
Phone number: 702-397-2611
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Mailing Address
SAVANNA BLACKWELL
PO BOX 1624
OVERTON, NV 89040-1624
Phone number: 928-234-7678
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