Individual
JORDAN BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5208 NORMANDY COB DR, MURFREESBORO, TN 37129-2380
(252) 435-1665
Mailing address
111 CURRITUCK COMMERICAL DR STE A1, MOYOCK, NC 27958-9086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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