Individual
MR. DONALD RAY BLAKLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 W COOK RD, MANSFIELD, OH 44907-5009
(419) 564-2941
Mailing address
717 W COOK RD, MANSFIELD, OH 44907-5009
(419) 564-2941
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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