Provider Information for 1679843916
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JOHN CHRISTOPHER HAMBLIN LPC
Sex: Male
NPI: 1679843916
Last Updated: 2012-01-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1679843916 | ||||||||
| Enumeration Date | 2012-01-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 2266 RUSTON, LA 71273-2266 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 2545 HIGHWAY 4 JONESBORO, LA 71251-6909 United States Phone: 318-245-2856 | Fax:318-259-1556 | ||||||||
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