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1821633660
BRIAN CARL BLACKMON
SHERMAN, TX
NPI
1821633660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 1136596)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
BRIAN CARL BLACKMON PT
1000 US HIGHWAY 82 E
SHERMAN, TX 75090-1704
Phone number: 903-896-9636
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Mailing Address
BRIAN CARL BLACKMON PT
1000 US HIGHWAY 82 E
SHERMAN, TX 75090-1704
Phone number:
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