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1992407829
MICHAEL BLACKBURN
MANASSAS, VA
NPI
1992407829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT020316)
Enumeration Date
2023-03-22
Last Update Date
2023-03-28
Business Address
MICHAEL BLACKBURN
8140 ASHTON AVE STE 104
MANASSAS, VA 20109-5699
Phone number: 703-257-3333
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Mailing Address
MICHAEL BLACKBURN
13210 TRENTON RD
GALENA, OH 43021-9508
Phone number:
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