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1609355569
JONATHAN DANIEL BLALOCK
ASHEVILLE, NC
NPI
1609355569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: NC 3564)
Enumeration Date
2018-08-11
Last Update Date
2023-05-26
Business Address
JONATHAN DANIEL BLALOCK Rec. therapist
77 CENTRAL AVE STE E
ASHEVILLE, NC 28801-2451
Phone number: 828-277-1315
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Mailing Address
JONATHAN DANIEL BLALOCK Rec. therapist
PO BOX 802
ASHEVILLE, NC 28802-0802
Phone number: 828-277-1315
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