MRS. Darla Lynn Blackbourn, DTV

NPI #1356564793 in Sycamore, Illinois

Provider Information

NPI Number: 1356564793
Entity Type: Individual
Name: MRS. Darla Lynn Blackbourn, DTV
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: DTV
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 245 W EXCHANGE ST STE 4
City: Sycamore
State: Illinois
ZIP Code: 60178-1495
Phone: (815) 762-5129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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