BLAKE BAZEL

ORANGE PARK, FL
NPI1487904744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY8593)
Enumeration Date2012-09-14
Last Update Date2013-02-26
Business Address
-- BLAKE BAZEL PhD
1677 WELLS RD SUITE A
ORANGE PARK, FL 32073-6799
Phone number: 904-272-0043
Mailing Address
-- BLAKE BAZEL PhD
1677 WELLS RD SUITE A
ORANGE PARK, FL 32073-6799
Phone number: 904-272-0043
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