Mary Olivia Blackmon
Mary Olivia Blackmon is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Practices as a sole proprietor. Licensed in Alabama.
- Licensed in
- AL
- In the registry since
- 2013
Practice location Address checks out
800 Lakeshore DrBirmingham, AL 35229-0001
Phone: (205) 726-4472
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence T34014 (AL) |
|---|
Record details
| NPI number | 1366887002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2013 |
| Last updated in NPPES | May 8, 2013 |
| Mailing address | 547 Legrand Pl, Montgomery, AL 36106-1825 |
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