JERRY D BLAYLOCK

JONESBORO, AR
NPI1922038975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  C4264)
Enumeration Date2006-07-04
Last Update Date2011-09-22
Business Address
Dr. JERRY D BLAYLOCK M.D.
901 S CHURCH ST
JONESBORO, AR 72401-4105
Phone number: 870-935-0360
Mailing Address
Dr. JERRY D BLAYLOCK M.D.
901 S CHURCH ST
JONESBORO, AR 72401-4105
Phone number: 870-935-0360
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