BRANDON BLACKBURN

JOPLIN, MO
NPI1659772416
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-09-11
Last Update Date2014-09-11
Business Address
-- BRANDON BLACKBURN
3230 WISCONSIN AVE
JOPLIN, MO 64804-4029
Phone number: 417-347-7580
Mailing Address
-- BRANDON BLACKBURN
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7579