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1144461922
EDNA BLACKBURN
PRESTONSBURG, KY
NPI
1144461922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-03-09
Last Update Date
2009-03-09
Business Address
-- EDNA BLACKBURN MA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
-- EDNA BLACKBURN MA
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Copy
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