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1841261740
AMY A BLANK
FORT CAMPBELL, KY
NPI
1841261740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: AL 0969a)
Enumeration Date
2006-01-30
Last Update Date
2011-12-19
Business Address
Mrs. AMY A BLANK CCC-A
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-7804
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Mailing Address
Mrs. AMY A BLANK CCC-A
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-7804
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