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1336218163
JUSTIN TATE BLAKEY
ANDERSON, SC
NPI
1336218163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- JUSTIN TATE BLAKEY
200 MCGEE RD
ANDERSON, SC 29625-2104
Phone number: 864-260-2220
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Mailing Address
-- JUSTIN TATE BLAKEY
200 MCGEE RD
ANDERSON, SC 29625-2104
Phone number: 864-260-2220
Copy
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