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1801526850
BLAKE JENKINS
MAYSVILLE, KY
NPI
1801526850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: KY 168970)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
BLAKE JENKINS LDO
240 WAL MART WAY
MAYSVILLE, KY 41056-7516
Phone number: 606-759-0385
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Mailing Address
BLAKE JENKINS LDO
240 WAL MART WAY
MAYSVILLE, KY 41056-7516
Phone number: 606-759-0385
Copy
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