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Individual

MR. ABSALOM BLACKMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RKT, LMT,MMP,CPS

Contact information

Practice address
4822 RIVER VISTA LN APT B, TAMPA, FL 33617-7589
(601) 874-8542
Mailing address
4822 RIVER VISTA LN APT B, TAMPA, FL 33617-7589
(601) 874-8542

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
227022111
IL
225700000X
Massage Therapist
Primary
MA100038
FL
226300000X
Kinesiotherapist
2055
FL
226300000X
Kinesiotherapist
2055
IL

Other

Enumeration date
07/10/2020
Last updated
05/15/2023
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