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1760502785
SUSAN LYNN BLACKBURN
KOKOMO, IN
NPI
1760502785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12007734A)
Enumeration Date
2007-03-31
Last Update Date
2007-07-08
Business Address
Dr. SUSAN LYNN BLACKBURN D.D.S.
200 S DIXON RD
KOKOMO, IN 46901-5073
Phone number: 765-456-3015
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Mailing Address
Dr. SUSAN LYNN BLACKBURN D.D.S.
616 SECRETARIAT CIR
KOKOMO, IN 46901-3776
Phone number: 765-452-0800
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