Individual
DR. SUSAN LYNN BLASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1007 TRAVELERS TRL NW, KENNESAW, GA 30144-2870
(770) 419-3926
Mailing address
1007 TRAVELERS TRL NW, KENNESAW, GA 30144-2870
(770) 419-3926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO05503
GA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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