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1275928996
JACQUELINE BLANKENSHIP
RIVERVIEW, FL
NPI
1275928996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: FL SA6528)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
JACQUELINE BLANKENSHIP M.C.D., CCC-SLP
8451 US HIGHWAY 301 S
RIVERVIEW, FL 33578-5441
Phone number: 866-450-9927
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Mailing Address
JACQUELINE BLANKENSHIP M.C.D., CCC-SLP
200 78TH AVE N APT 183
SAINT PETERSBURG, FL 33702-4469
Phone number: 813-495-0186
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