BOAZ BLAKE

HOUSTON, TX
NPI1649576513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2011-02-09
Last Update Date2011-02-09
Business Address
-- BOAZ BLAKE ATC
7502 FONDREN RD
HOUSTON, TX 77074-3204
Phone number: 281-649-3328
Mailing Address
-- BOAZ BLAKE ATC
7703 FONDREN RD
HOUSTON, TX 77074-4607
Phone number:
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