LARRY E BLACKMON

PASADENA, CA
NPI1407973910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- LARRY E BLACKMON
330 S OAK KNOLL AVE #210
PASADENA, CA 91101-3419
Phone number: 626-577-1215
Mailing Address
-- LARRY E BLACKMON
330 S OAK KNOLL AVE #210
PASADENA, CA 91101-3419
Phone number: 626-577-1215
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