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1639309487
DIANA LYNN BLACKWOOD
CLARKSBURG, WV
NPI
1639309487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WV 2009-2570)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
Mrs. DIANA LYNN BLACKWOOD LMT
111 S 4TH ST
CLARKSBURG, WV 26301-2801
Phone number: 304-680-1580
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Mailing Address
Mrs. DIANA LYNN BLACKWOOD LMT
111 S 4TH ST
CLARKSBURG, WV 26301-2801
Phone number: 304-680-1580
Copy
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