Individual
SHANE BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4007 E 53RD ST, DAVENPORT, IA 52807-3059
(563) 355-7155
Mailing address
4007 E 53RD ST, DAVENPORT, IA 52807-3059
(563) 355-7155
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
114454
IA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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