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1619227162
RICHARD BLACKBURN
SANTA MONICA, CA
NPI
1619227162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
-- RICHARD BLACKBURN
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308
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Mailing Address
-- RICHARD BLACKBURN
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308
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