Individual
DR. BLAKE LEE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12401 N MAY AVE STE 103, OKLAHOMA CITY, OK 73120-1967
(405) 842-3413
(405) 842-3413
Mailing address
12401 N MAY AVE STE 103, OKLAHOMA CITY, OK 73120-1967
(405) 842-3413
(405) 842-3413
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4089
OK
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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