GORDON J. BLACKNELL

LOS ANGELES, CA
NPI1831229186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mr. GORDON J. BLACKNELL
12901 VENICE BLVD
LOS ANGELES, CA 90066-3509
Phone number: 310-390-3611
Mailing Address
Mr. GORDON J. BLACKNELL
12901 VENICE BLVD
LOS ANGELES, CA 90066-3509
Phone number: 310-390-3611
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