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1073521787
KELLIE JUSTICE BLANCHARD
CHARLESTON, WV
NPI
1073521787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002161)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- KELLIE JUSTICE BLANCHARD MSPT
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
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Mailing Address
-- KELLIE JUSTICE BLANCHARD MSPT
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
Copy
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