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1699084608
KEN BLACKBURN
SPARKS, NV
NPI
1699084608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-09-26
Last Update Date
2010-09-26
Business Address
-- KEN BLACKBURN
480 GALLETTI WAY
SPARKS, NV 89431-5564
Phone number: 775-333-0943
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Mailing Address
-- KEN BLACKBURN
7491 AMBUSH CT
SPARKS, NV 89436-7459
Phone number:
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