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DR. AMBER R BLACKFORD D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1306874755

Individual Registrant:
DR. AMBER R BLACKFORD D.C.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
701 HIGHLAND SPRINGS AVE SUITE 8 BEAUMONT, CA 92223-2550 US
Tel: 951-845-9183  Fax: 951-845-9193

Contact information for business:
701 HIGHLAND SPRINGS AVE SUITE 8 BEAUMONT, CA 92223-2550 US
Tel: 951-845-9183  Fax: 951-845-9193

Registration Information:
NPI: 1306874755
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC 27013

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DC0270130CA05
RAILROAD MEDICAREP00087251CA01
BLUE SHIELDDC0270130CA01
BLUE CROSS, ASHPDC 27013CA01




HEALTH CARE JOBS CA - Page 1



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