CRYSTAL JHAN BLAINE

LEXINGTON, KY
NPI1902460272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: KY  B98103599)
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
CRYSTAL JHAN BLAINE
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
Mailing Address
CRYSTAL JHAN BLAINE
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number:
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