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Individual

CARL C BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5701 LILLIBRIDGE ST APT 10, LINCOLN, NE 68506-3543
(607) 349-9774
Mailing address
5701 LILLIBRIDGE ST APT 10, LINCOLN, NE 68506-3543
(607) 349-9774

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12.005251
CT

Other

Enumeration date
12/20/2012
Last updated
12/20/2012
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