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1457738494
WALTER LEE BLACKBURN
SACRAMENTO, CA
NPI
1457738494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA 20A19254)
Enumeration Date
2015-04-29
Last Update Date
2024-08-29
Business Address
WALTER LEE BLACKBURN D.O.
3315 WATT AVE
SACRAMENTO, CA 95821-3600
Phone number: 916-481-6800
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Mailing Address
WALTER LEE BLACKBURN D.O.
PO BOX 1705
MEDFORD, OR 97501-0132
Phone number: 541-773-7273
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