Individual
BLAINE CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 MILL RUN RD LOT 8, WAVERLY, OH 45690-8970
(740) 464-4067
Mailing address
178 MILL RUN RD LOT 8, WAVERLY, OH 45690-8970
(740) 464-4067
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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