BRIAN J BLACKBURN

LEXINGTON, SC
NPI1649367152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  379)
Enumeration Date2006-10-06
Last Update Date2014-10-06
Business Address
-- BRIAN J BLACKBURN A.T., C.
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-413-0220
Mailing Address
-- BRIAN J BLACKBURN A.T., C.
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-413-0220
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