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1952432510
BRIAN BLACKSTEN
HIGH POINT, NC
NPI
1952432510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0413)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. BRIAN BLACKSTEN LAT, ATC
611 N LINDSAY ST
HIGH POINT, NC 27262-4300
Phone number: 336-802-2250
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Mailing Address
Mr. BRIAN BLACKSTEN LAT, ATC
1112 VERA CT
HIGH POINT, NC 27262-3732
Phone number: 336-454-6729
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