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1891278941
DONALD BLACKBURN
ALBUQUERQUE, NM
NPI
1891278941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM PT1496)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
DONALD BLACKBURN
6020 CONSTITUTION AVE NE STE 4
ALBUQUERQUE, NM 87110-5931
Phone number: 505-255-5099
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Mailing Address
DONALD BLACKBURN
PO BOX 3338
ALBUQUERQUE, NM 87190-3338
Phone number: 505-255-5099
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