CRYSTAL BLANTON

CHICAGO, IL
NPI1609152628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164004659)
Enumeration Date2011-10-24
Last Update Date2011-10-24
Business Address
Miss CRYSTAL BLANTON RD,LDN
190 E DELAWARE PL
CHICAGO, IL 60611-1813
Phone number: 773-947-7331
Mailing Address
Miss CRYSTAL BLANTON RD,LDN
15424 DREXEL AVE
DOLTON, IL 60419-2748
Phone number: 773-519-9477
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