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1487133609
KYLE BLAYLOCK
EUREKA, CA
NPI
1487133609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA 100601)
Enumeration Date
2018-08-08
Last Update Date
2022-11-14
Business Address
KYLE BLAYLOCK ACSW
2259 MYRTLE AVE
EUREKA, CA 95501-3325
Phone number: 707-444-8293
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Mailing Address
KYLE BLAYLOCK ACSW
2259 MYRTLE AVE
EUREKA, CA 95501-3325
Phone number: 707-444-8293
Copy
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