SHANE BLACKBURN

MOREHEAD, KY
NPI1215415237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-08-01
Last Update Date2018-08-01
Business Address
SHANE BLACKBURN
321 E MAIN ST
MOREHEAD, KY 40351-1671
Phone number: 606-784-4161
Mailing Address
SHANE BLACKBURN
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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