BLAKE CARLISLE

FAIRVIEW, OK
NPI1073921524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2804)
Enumeration Date2014-07-29
Last Update Date2014-07-29
Business Address
Dr. BLAKE CARLISLE O.D.
111 E BROADWAY
FAIRVIEW, OK 73737-2124
Phone number: 580-227-4878
Mailing Address
Dr. BLAKE CARLISLE O.D.
111 E BROADWAY
FAIRVIEW, OK 73737-2124
Phone number: 580-227-4878
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