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1992424295
CAROLINE BLACKBURN
CHARLESTON, WV
NPI
1992424295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
CAROLINE BLACKBURN
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
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Mailing Address
CAROLINE BLACKBURN
580 POND CREEK RD
HUDDY, KY 41535-8851
Phone number:
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