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1922360270
LESLIE ANN BLACKBURN
NEW HAVEN, CT
NPI
1922360270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
Dr. LESLIE ANN BLACKBURN D.D.S.
20 YORK ST # T-209 YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510-3220
Phone number: 203-688-2259
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Mailing Address
Dr. LESLIE ANN BLACKBURN D.D.S.
20 YORK ST # T-209 YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510-3220
Phone number: 203-688-2259
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