Justin Ryan Blackburn
NPI #1346860442 in New Boston, Ohio
Provider Information
- NPI Number
- 1346860442
- Entity Type
- Individual
- Name
- Justin Ryan Blackburn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 20, 2020
- Last Updated
- Apr 20, 2020
Practice Location
- Address
- 4342 GALLIA ST STE A
- City
- New Boston
- State
- Ohio
- ZIP Code
- 45662-5563
- Phone
- (740) 529-1184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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