Casey Blackburn
Casey Blackburn is a Specialist in San Jose, California. Licensed in Tennessee. Registered with an NPI since 2014.
- Licensed in
- TN
- In the registry since
- 2014
Practice location Address checks out
2001 The AlamedaSan Jose, CA 95126-1136
Phone: (408) 261-7777
Fax: (408) 259-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 111097739 (TN) |
|---|
Record details
| NPI number | 1346648987 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 14, 2014 |
| Last updated in NPPES | December 14, 2014 |
| Mailing address | 614 N 11th St, San Jose, CA 95112-3220 |
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