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1669916797
JASON BLACKBURN
HARVEY, LA
NPI
1669916797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2016-12-08
Last Update Date
2019-11-08
Business Address
JASON BLACKBURN C.P.S.S.
1901 WESTBANK EXPY SUITE 550
HARVEY, LA 70058-4366
Phone number: 504-247-9120
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Mailing Address
JASON BLACKBURN C.P.S.S.
1901 WESTBANK EXPY SUITE 550
HARVEY, LA 70058-4366
Phone number: 504-247-9120
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