REBECCA ANN BLACKBURN

KOKOMO, IN
NPI1750445219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37001345A)
Enumeration Date2006-12-20
Last Update Date2007-07-09
Business Address
Ms. REBECCA ANN BLACKBURN RD
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902-3803
Phone number: 765-453-8352
Mailing Address
Ms. REBECCA ANN BLACKBURN RD
3500 S LAFOUNTAIN ST P.O. BOX 9011
KOKOMO, IN 46902-3803
Phone number: 765-453-8352
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