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1689747420
TRACEY BLACKMORE
INDIANAPOLIS, IN
NPI
1689747420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05007577A)
Enumeration Date
2006-11-17
Last Update Date
2016-09-22
Business Address
-- TRACEY BLACKMORE PT
8820 ANCHOR BAY CT
INDIANAPOLIS, IN 46236-8210
Phone number: 317-826-1853
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Mailing Address
-- TRACEY BLACKMORE PT
6437 RUCKER RD
INDIANAPOLIS, IN 46220-4885
Phone number: 317-405-9016
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