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1750954434
KYLE LEE BLANKENSHIP
MARION, OH
NPI
1750954434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 177340)
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
KYLE LEE BLANKENSHIP
1065 DELAWARE AVE
MARION, OH 43302-6461
Phone number: 740-387-7246
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Mailing Address
KYLE LEE BLANKENSHIP
3433 AGLER RD
COLUMBUS, OH 43219-3387
Phone number:
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