JAMES EDWARD BLACKBURN

JACKSON, WY
NPI1710230230
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WY  3585)
Enumeration Date2012-10-22
Last Update Date2021-02-16
Business Address
Dr. JAMES EDWARD BLACKBURN
150 SCOTT LN SPC A
JACKSON, WY 83001-8467
Phone number: 307-201-1159
Mailing Address
Dr. JAMES EDWARD BLACKBURN
PO BOX 11540
JACKSON, WY 83002-1540
Phone number: 540-809-6348
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