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Individual

DR. BLAKE WELCH BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4133 W PIONEER PKWY STE 130, WEST VALLEY CITY, UT 84120-2059
(385) 557-6747
(888) 546-0632
Mailing address
4133 W PIONEER PKWY STE 130, WEST VALLEY CITY, UT 84120-2059
(385) 557-6747
(888) 546-0632

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
18088
NV
183500000X
Pharmacist
Primary
4898357-1701
UT

Other

Enumeration date
10/31/2019
Last updated
11/26/2025
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