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1376711945
JAMES L BLACKWELL
SCOTT DEPOT, WV
NPI
1376711945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 1090)
Enumeration Date
2008-02-15
Last Update Date
2010-09-10
Business Address
-- JAMES L BLACKWELL DO
3016 GREAT TEAYS BLVD
SCOTT DEPOT, WV 25560-9552
Phone number: 304-757-6999
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Mailing Address
-- JAMES L BLACKWELL DO
301 GREAT TEAYS BLVD STE 6
SCOTT DEPOT, WV 25560-9552
Phone number: 304-757-6999
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