KELLY BLEVINS

LA FAYETTE, GA
NPI1326574740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2017-05-04
Last Update Date2017-05-04
Business Address
-- KELLY BLEVINS
815 N MAIN ST
LA FAYETTE, GA 30728-2245
Phone number: 423-991-0034
Mailing Address
-- KELLY BLEVINS
815 N MAIN ST
LA FAYETTE, GA 30728-2245
Phone number: 423-991-0034
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