Blake Prater

NPI #1962730937 in Imboden, Arkansas

Provider Information

NPI Number
1962730937
Entity Type
Individual
Name
Blake Prater
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Dec 2, 2009
Last Updated
Dec 2, 2009

Practice Location

Address
609 W 3RD ST
ZIP Code
72434-9099
Phone
(870) 869-1500

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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