DOUGLAS JOHN BLACKBURN

SPOKANE VALLEY, WA
NPI1649721580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A1 60574310)
Enumeration Date2016-10-15
Last Update Date2016-10-15
Business Address
-- DOUGLAS JOHN BLACKBURN ATC
12410 E SINTO AVE STE 205
SPOKANE VALLEY, WA 99216-2280
Phone number: 509-242-3944
Mailing Address
-- DOUGLAS JOHN BLACKBURN ATC
12410 E SINTO AVE STE 205
SPOKANE VALLEY, WA 99216-2280
Phone number: 509-242-3944
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