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1639959802
BLAKE WALKER CARTER
TULSA, OK
NPI
1639959802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
BLAKE WALKER CARTER
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
BLAKE WALKER CARTER
412 SW 145TH ST
OKLAHOMA CITY, OK 73170-7298
Phone number:
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