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Individual

SUSAN L BLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CH

Contact information

Practice address
367 N MAIN ST, SUITE 9, EAGAR, AZ 85925-9676
(928) 333-4757
(928) 333-4757
Mailing address
367 N MAIN ST, SUITE 9, EAGAR, AZ 85925-9676
(928) 333-4757
(928) 333-4757

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7405
AZ

Other

Enumeration date
03/27/2006
Last updated
01/16/2008
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