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1629017744
KEITH A. BLACKMON
DOTHAN, AL
NPI
1629017744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 4491)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
Dr. KEITH A. BLACKMON D.D.S.
107 PROFESSIONAL LN
DOTHAN, AL 36303-3875
Phone number: 334-792-5711
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Mailing Address
Dr. KEITH A. BLACKMON D.D.S.
107 PROFESSIONAL LN
DOTHAN, AL 36303-3875
Phone number: 334-792-5711
Copy
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