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Individual

MR. BLAKE ALAN WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
TELEMETRY TECH., CNA

Contact information

Practice address
7701 FLOURISH SPRINGS ST, LAS VEGAS, NV 89131-8212
(702) 372-8963
Mailing address
7701 FLOURISH SPRINGS ST, LAS VEGAS, NV 89131-8212
(702) 372-8963

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
NV
376K00000X
Nurse's Aide
CNA027667
NV

Other

Enumeration date
11/12/2013
Last updated
11/12/2013
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