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1386404812
CLAYTON BLACKWELL
PHILADELPHIA, PA
NPI
1386404812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
CLAYTON BLACKWELL
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 734-755-7512
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Mailing Address
CLAYTON BLACKWELL
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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