Individual
BLAKE GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2075 JORDAN AVE, JUNEAU, AK 99801-8095
(907) 789-7610
Mailing address
9338 BETTY CT # 35, JUNEAU, AK 99801-8827
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
11/16/2022
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