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1679896344
JOHN C BLACKENBURG OD LLC
SEMMES, AL
NPI
1679896344
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Entity Type
Organization
Authorized Contact
JOHN C BLACKENBURG
Owner
251-645-2991
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S498TA014)
Enumeration Date
2010-03-09
Last Update Date
2010-08-03
Business Address
JOHN C BLACKENBURG OD LLC
7930 MOFFETT RD
SEMMES, AL 36575-5490
Phone number: 251-645-2991
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Mailing Address
JOHN C BLACKENBURG OD LLC
7930 MOFFETT RD
SEMMES, AL 36575-5490
Phone number: 251-645-2991
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