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1841720281
SANDRA BLACKBURN
WESTLAKE, OH
NPI
1841720281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OH 020836)
Enumeration Date
2017-06-18
Last Update Date
2017-06-18
Business Address
Mrs. SANDRA BLACKBURN NP-C
27991 CENTER RIDGE RD
WESTLAKE, OH 44145-3902
Phone number: 440-250-0424
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Mailing Address
Mrs. SANDRA BLACKBURN NP-C
2220 BUNTS RD
LAKEWOOD, OH 44107-6106
Phone number: 440-258-4909
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