BLAKE SQUIRES

SCOTTSBLUFF, NE
NPI1306430848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  2568)
Enumeration Date2021-02-25
Last Update Date2024-03-31
Business Address
BLAKE SQUIRES PA
4021 AVENUE B
SCOTTSBLUFF, NE 69361-4602
Phone number: 308-635-3711
Mailing Address
BLAKE SQUIRES PA
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112-3895
Phone number: 303-761-9190
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