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1417420076
MINDY BLACKBURN
SILVERDALE, WA
NPI
1417420076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
MINDY BLACKBURN
2430 NW MYHRE RD # 101
SILVERDALE, WA 98383-7669
Phone number: 360-328-5054
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Mailing Address
MINDY BLACKBURN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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