BLAKE D YOUNG

FAYETTEVILLE, AR
NPI1083506612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-07-17
Last Update Date2025-07-17
Business Address
BLAKE D YOUNG
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 479-236-2439
Mailing Address
BLAKE D YOUNG
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 147-923-6243
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