Blake West

NPI #1295030054 in Durant, Oklahoma

Provider Information

NPI Number
1295030054
Entity Type
Individual
Name
Blake West
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Jan 25, 2011
Last Updated
Jan 25, 2011

Practice Location

Address
142 W MAIN ST
City
Durant
ZIP Code
74701-5008
Phone
(580) 920-2069

Specialties & Taxonomy Codes

Specialty
Counselor

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