Individual
DUSTIN BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2240 N HWY 89 STE C, HARRISVILLE, UT 84404-2824
(801) 393-6232
(801) 393-4081
Mailing address
2240 N HWY 89 STE C, HARRISVILLE, UT 84404-2824
(801) 393-6232
(801) 393-4081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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