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1669496964
KEITH EDWARD BLACKWELL
LOS ANGELES, CA
NPI
1669496964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G68815)
Enumeration Date
2006-07-27
Last Update Date
2010-08-31
Business Address
-- KEITH EDWARD BLACKWELL MD
200 MEDICAL PLZ #550
LOS ANGELES, CA 90095-0001
Phone number: 310-206-6688
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Mailing Address
-- KEITH EDWARD BLACKWELL MD
5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-206-6688
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