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1851946081
CODY BLANCHARD
CHAMPAIGN, IL
NPI
1851946081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL B452-1019-0249)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
CODY BLANCHARD
401 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820-4716
Phone number: 217-398-8464
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Mailing Address
CODY BLANCHARD
PO BOX 492
SIDNEY, IL 61877-0492
Phone number:
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