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1053757351
TIMOTHY BLANKENBAKER
NATCHITOCHES, LA
NPI
1053757351
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Professional Name
TIMOTHY BLANKENBAKER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4642)
Enumeration Date
2013-05-14
Last Update Date
2019-12-06
Business Address
TIMOTHY BLANKENBAKER
430 DIXIE PLZ
NATCHITOCHES, LA 71457-5881
Phone number: 318-357-9009
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Mailing Address
TIMOTHY BLANKENBAKER
1000 CHINABERRY DR STE 902
BOSSIER CITY, LA 71111-2455
Phone number: 318-459-6795
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