BLAKE REZA SHAHLAIE

BETHEL, AK
NPI1346805454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AK  145511)
Enumeration Date2019-05-03
Last Update Date2019-10-07
Business Address
BLAKE REZA SHAHLAIE PA-C
185 HOFFMAN ROAD
BETHEL, AK 55995
Phone number: 907-543-5158
Mailing Address
BLAKE REZA SHAHLAIE PA-C
PO BOX 194
BETHEL, AK 99559-0194
Phone number: 907-543-6149
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