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1356521611
DEXTER CORNELIUS BLACKBURN
MEMPHIS, TN
NPI
1356521611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS r876552)
Enumeration Date
2007-11-05
Last Update Date
2007-11-05
Business Address
Mr. DEXTER CORNELIUS BLACKBURN nurse
3828 WINDY AVE
MEMPHIS, TN 38128-2132
Phone number: 901-372-6945
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Mailing Address
Mr. DEXTER CORNELIUS BLACKBURN nurse
3828 WINDY AVE
MEMPHIS, TN 38128-2132
Phone number: 901-372-6945
Copy
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