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1689775546
BRUCE A. BLACKBURN
KOKOMO, IN
NPI
1689775546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12007761A)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Dr. BRUCE A. BLACKBURN D.D.S.
200 S DIXON RD
KOKOMO, IN 46901-5073
Phone number: 765-456-3015
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Mailing Address
Dr. BRUCE A. BLACKBURN D.D.S.
200 S DIXON RD
KOKOMO, IN 46901-5073
Phone number: 765-456-3015
Copy
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