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1912994583
JACK C BLACKSTONE, JR.
OWENSBORO, KY
NPI
1912994583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: KY 18142)
Enumeration Date
2005-09-29
Last Update Date
2010-07-08
Business Address
Dr. JACK C BLACKSTONE, JR. M.D.
1000 BRECKENRIDGE ST SUITE 200
OWENSBORO, KY 42303-0839
Phone number: 270-926-3700
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Mailing Address
Dr. JACK C BLACKSTONE, JR. M.D.
1000 BRECKENRIDGE ST SUITE 200
OWENSBORO, KY 42303-0839
Phone number: 270-926-3700
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