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1922408996
JACKIE LYNN BLACKBURN
PRESTONSBURG, KY
NPI
1922408996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-08-27
Last Update Date
2023-11-03
Business Address
JACKIE LYNN BLACKBURN
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
JACKIE LYNN BLACKBURN
32 BLACKBURN LN
PIKEVILLE, KY 41501-6800
Phone number: 606-434-8105
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