Blake Kelly Earl
Blake Kelly Earl is a Counselor in South Ogden, Utah. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5150 S Washington Blvd Ste 1South Ogden, UT 84405-4503
Phone: (801) 337-0067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1578805214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2013 |
| Last updated in NPPES | March 20, 2013 |
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