Individual
BLAKE WOODBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 1/2 E 6TH ST, YORK, NE 68467-2917
(402) 363-9746
Mailing address
121 1/2 E 6TH ST, YORK, NE 68467-2917
(402) 363-9746
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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