HAROLD HERBERT BLAKELOCK

PROVO, UT
NPI1518214899
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: UT  114279-2501)
Enumeration Date2012-08-06
Last Update Date2012-08-06
Business Address
Dr. HAROLD HERBERT BLAKELOCK
1836 N 1120 W # 2
PROVO, UT 84604-1179
Phone number: 801-722-8362
Mailing Address
Dr. HAROLD HERBERT BLAKELOCK
1836 N 1120 W # 2
PROVO, UT 84604-1179
Phone number: 801-722-8362
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