CARL LEE BLACKBURN

CHARLESTON, WV
NPI1912698887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-05-19
Last Update Date2023-05-24
Business Address
CARL LEE BLACKBURN
1622 RAVINIA RD
CHARLESTON, WV 25314-1846
Phone number: 304-356-0106
Mailing Address
CARL LEE BLACKBURN
1622 RAVINIA RD
CHARLESTON, WV 25314-1846
Phone number: 304-356-0106
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