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Brandon Blackburn
NPI 1659772416 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3230 Wisconsin Ave
Joplin, MO 64804 - Phone
- (417) 347-7580
- Fax
- (417) 347-0293
- Organisation at this address
- Ozark Center
Ozark CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Sex
- Male
- Record last updated
- 2014-09-11
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri