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1255063590
CHRISTOPHER SCOTT BLANK
BOYS TOWN, NE
NPI
1255063590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NE 13384)
Enumeration Date
2022-06-27
Last Update Date
2023-06-06
Business Address
CHRISTOPHER SCOTT BLANK
13460 WALSH DR
BOYS TOWN, NE 68010-7529
Phone number: 531-355-3358
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Mailing Address
CHRISTOPHER SCOTT BLANK
13460 WALSH DR
BOYS TOWN, NE 68010-7529
Phone number: 531-355-3358
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