Individual
BLAKE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 298-2565
Mailing address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1678975
CO
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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