Individual
BAYLEE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
DO
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 671-8308
Mailing address
4318 WOODWELL ST UNIT C, LAS VEGAS, NV 89147-7131
(702) 682-6727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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