AMY A BLANK

FORT CAMPBELL, KY
NPI1841261740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: AL  0969a)
Enumeration Date2006-01-30
Last Update Date2011-12-19
Business Address
Mrs. AMY A BLANK CCC-A
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-7804
Mailing Address
Mrs. AMY A BLANK CCC-A
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-412-7804