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1649531328
KEITH BLACKWELL
EUGENE, OR
NPI
1649531328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3956)
Enumeration Date
2012-05-30
Last Update Date
2025-01-17
Business Address
KEITH BLACKWELL PT
1166 W 7TH AVE
EUGENE, OR 97402-4616
Phone number: 458-210-2940
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Mailing Address
KEITH BLACKWELL PT
1166 W 7TH AVE
EUGENE, OR 97402-4616
Phone number: 458-210-2940
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