Individual
BLAKE PURITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6150
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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