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Individual

BLAKE CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1923 S UTICA AVE, 3RD FLOOR SURGERY, TULSA, OK 74104-6520
(918) 744-3664
(918) 744-7688
Mailing address
1611 S UTICA AVE, 3RD FLOOR SURGERY, TULSA, OK 74104-4909
(918) 744-3664
(918) 744-7688

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111781
OK

Other

Enumeration date
01/30/2014
Last updated
02/21/2014
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