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1609990324
ALSENA JACQULINE BLACKMAN
VIRGINIA BEACH, VA
NPI
1609990324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602005)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- ALSENA JACQULINE BLACKMAN PTA
4560 PRINCESS ANNE RD
VIRGINIA BEACH, VA 23462-7905
Phone number: 757-474-1249
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Mailing Address
-- ALSENA JACQULINE BLACKMAN PTA
1835 PORT LYAUTEY DR
VIRGINIA BEACH, VA 23455-2722
Phone number:
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