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1689318107
JORDAN BLANKENSHIP
HURRICANE, WV
NPI
1689318107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
JORDAN BLANKENSHIP
3361 TEAYS VALLEY RD
HURRICANE, WV 25526-9310
Phone number: 681-235-3114
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Mailing Address
JORDAN BLANKENSHIP
PO BOX 427
SCOTT DEPOT, WV 25560-0427
Phone number: 681-235-3114
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