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Individual

DR. JIMMY HERBERT BLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1216 6TH AVE, HUNTINGTON, WV 25701-2312
(304) 523-3333
(304) 523-3330
Mailing address
1216 6TH AVE, HUNTINGTON, WV 25701-2312
(304) 523-3333
(304) 523-3330

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
668
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0132319000
WV
05
2082124
OH
05
85680049
KY
Enumeration date
04/14/2006
Last updated
08/13/2012
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