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1710661434
MADISON BLACKBURN
BRIDGETON, MO
NPI
1710661434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2023020675)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
Dr. MADISON BLACKBURN PT, DPT
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number: 314-447-9710
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Mailing Address
Dr. MADISON BLACKBURN PT, DPT
12380 DE PAUL DR
BRIDGETON, MO 63044-2511
Phone number:
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