Individual
PEGGY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
15802 STATE ROUTE 104, CHILLICOTHE, OH 45601-9701
(740) 774-7080
Mailing address
933 GLENN AVE, WASHINGTON COURT HOUSE, OH 43160-1725
(740) 333-0314
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
005877
OH
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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