BLAKE WALTERS

BARABOO, WI
NPI1417479270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: WI  5284-12)
Enumeration Date2017-07-13
Last Update Date2017-07-13
Business Address
BLAKE WALTERS D.C.
701 ASH ST
BARABOO, WI 53913-2139
Phone number: 608-844-2116
Mailing Address
BLAKE WALTERS D.C.
1875 W PINE ST APT 302
BARABOO, WI 53913-9658
Phone number:
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