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1407973910
LARRY E BLACKMON
PASADENA, CA
NPI
1407973910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- LARRY E BLACKMON
330 S OAK KNOLL AVE #210
PASADENA, CA 91101-3419
Phone number: 626-577-1215
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Mailing Address
-- LARRY E BLACKMON
330 S OAK KNOLL AVE #210
PASADENA, CA 91101-3419
Phone number: 626-577-1215
Copy
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