DUDLEY DAVID BLAKE

BOISE, ID
NPI1578676714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY313)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Dr. DUDLEY DAVID BLAKE Ph.D.
BOISE VA MEDICAL CENTER 500 WEST FORT STREET
BOISE, ID 83701-4598
Phone number: 208-422-1125
Mailing Address
Dr. DUDLEY DAVID BLAKE Ph.D.
701 E JEFFERSON ST
BOISE, ID 83712-6413
Phone number: 208-336-0461
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