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1386846871
LISA R BLACKRICK
JACKSONVILLE, FL
NPI
1386846871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma
(Licence: FL ME144788)
Enumeration Date
2007-06-05
Last Update Date
2020-09-14
Business Address
LISA R BLACKRICK MD
3627 UNIVERSITY BLVD S STE 550
JACKSONVILLE, FL 32216-7401
Phone number: 904-379-5986
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Mailing Address
LISA R BLACKRICK MD
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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