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1053509026
HEATHER BLASINGAME
LAWRENCEVILLE, IL
NPI
1053509026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-04
Last Update Date
2007-11-06
Business Address
Ms. HEATHER BLASINGAME BS
1501 OLIVE ST
LAWRENCEVILLE, IL 62439-2269
Phone number: 618-943-3451
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Mailing Address
Ms. HEATHER BLASINGAME BS
PO BOX M 504 MICAH DRIVE
OLNEY, IL 62450-0913
Phone number: 618-395-4306
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