JUSTIN T BLACKBURN

NORTH HOLLYWOOD, CA
NPI1528300035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-03-22
Last Update Date2013-03-22
Business Address
Mr. JUSTIN T BLACKBURN
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606-3012
Phone number: 818-432-5025
Mailing Address
Mr. JUSTIN T BLACKBURN
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606-3012
Phone number: 818-432-5025
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