CHRIS BLANTON

SAN LORENZO, CA
NPI1689906059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-02-09
Last Update Date2010-02-09
Business Address
-- CHRIS BLANTON
17467 VIA ANACAPA
SAN LORENZO, CA 94580-3209
Phone number: 469-226-8154
Mailing Address
-- CHRIS BLANTON
17467 VIA ANACAPA
SAN LORENZO, CA 94580-3209
Phone number: 469-226-8154
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