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1558847988
COREY DAVID BLACKBURN
SALT LAKE CITY, UT
NPI
1558847988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
COREY DAVID BLACKBURN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 385-626-5907
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Mailing Address
COREY DAVID BLACKBURN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 385-626-5907
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