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1467045484
TRE ALAN BLACKFORD
DES MOINES, IA
NPI
1467045484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 101467)
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
TRE ALAN BLACKFORD PT
701 RIVERVIEW ST
DES MOINES, IA 50316-2343
Phone number: 515-266-1106
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Mailing Address
TRE ALAN BLACKFORD PT
9816 LAGUNA DR
JOHNSTON, IA 50131-2998
Phone number: 641-751-0027
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