PAUL DAVID BLAKELEY

SPARTANBURG, SC
NPI1104997907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: SC  042374420)
Additional Taxonomies224P00000X Prosthetist
(Licence: SC  042374420)
Enumeration Date2006-11-13
Last Update Date2007-07-09
Business Address
Mr. PAUL DAVID BLAKELEY CPO FAAOP
102 WILLOW LANE
SPARTANBURG, SC 29307-1343
Phone number: 864-582-4411
Mailing Address
Mr. PAUL DAVID BLAKELEY CPO FAAOP
102 WILLOW LANE
SPARTANBURG, SC 29307-1343
Phone number: 864-582-4411
Similar providers in Spartanburg, SC
IAN ALERRE