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1598919409
MARCUS KIM BLACKBURN
SALT LAKE CITY, UT
NPI
1598919409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 7148440-1205)
Enumeration Date
2008-11-06
Last Update Date
2008-11-06
Business Address
-- MARCUS KIM BLACKBURN M.D.
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-8924
Phone number: 801-662-5702
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Mailing Address
-- MARCUS KIM BLACKBURN M.D.
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-8924
Phone number: 801-662-5702
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