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1801967047
JOEL M BLACKBURN
COLUMBIA, MO
NPI
1801967047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MO 2003004595)
Enumeration Date
2006-11-10
Last Update Date
2022-08-16
Business Address
JOEL M BLACKBURN D.O.
3916 S PROVIDENCE RD STE 101
COLUMBIA, MO 65203-7152
Phone number: 573-882-1662
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Mailing Address
JOEL M BLACKBURN D.O.
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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