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1376175521
JAMES EDWIN BLACKMON
TUPELO, MS
NPI
1376175521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 0177)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
Mr. JAMES EDWIN BLACKMON LPC
210 E MAIN ST STE 2C
TUPELO, MS 38804-4017
Phone number: 662-760-0052
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Mailing Address
Mr. JAMES EDWIN BLACKMON LPC
306 TIMBER CV
OXFORD, MS 38655-5871
Phone number: 662-801-0271
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