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1124094479
IAN DAVID BLAKE
TULSA, OK
NPI
1124094479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT3742)
Enumeration Date
2006-02-27
Last Update Date
2010-06-14
Business Address
Mr. IAN DAVID BLAKE PT
6767 S YALE AVE SUITE B
TULSA, OK 74136-3302
Phone number: 918-494-3000
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Mailing Address
Mr. IAN DAVID BLAKE PT
6767 S YALE AVE SUITE B
TULSA, OK 74136-3302
Phone number: 918-494-3000
Copy
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