Individual
MINDY JO BLEVINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3584 HOME RD, POWELL, OH 43065-9757
(740) 657-4263
Mailing address
8756 WOODWIND DR, LEWIS CENTER, OH 43035-8726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-002351
OH
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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