BLAKE LUNDRY

TAHLEQUAH, OK
NPI1295157774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-01-17
Last Update Date2014-01-17
Business Address
Mr. BLAKE LUNDRY
3475 SOUTHRIDGE PL UNIT 7
TAHLEQUAH, OK 74464-7912
Phone number: 918-931-1041
Mailing Address
Mr. BLAKE LUNDRY
3475 SOUTHRIDGE PLACE #7
TAHLEQUAH, OK 74464
Phone number:
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