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1942759253
CARLA BLACKMON
SACRAMENTO, CA
NPI
1942759253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN190633)
Enumeration Date
2016-09-27
Last Update Date
2023-09-11
Business Address
CARLA BLACKMON LVN
900 FULTON AVE STE 205
SACRAMENTO, CA 95825-4517
Phone number: 916-484-3570
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Mailing Address
CARLA BLACKMON LVN
PO BOX 233335
SACRAMENTO, CA 95823-0438
Phone number: 916-267-1065
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