DE ETTA LYNN BLAKENSHIP

DECATUR, AL
NPI1376731299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence:   Case Manager)
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
-- DE ETTA LYNN BLAKENSHIP
1315 13TH AVE SE
DECATUR, AL 35601-4308
Phone number: 256-355-6105
Mailing Address
-- DE ETTA LYNN BLAKENSHIP
1316 SOMERVILLE RD SE SUITE 1
DECATUR, AL 35601-4305
Phone number: 256-355-6105
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