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1447805064
WILLIAM BLACKBURN
COVINGTON, LA
NPI
1447805064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 7785)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
WILLIAM BLACKBURN MS
648 CRESTWOOD BLVD
COVINGTON, LA 70433-8261
Phone number: 985-805-2555
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Mailing Address
WILLIAM BLACKBURN MS
648 CRESTWOOD BLVD
COVINGTON, LA 70433-8261
Phone number:
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