Individual
MR. STEPHEN HERMAN BLAKELY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5390 CROSSING LN, DUBLIN, OH 43016-5217
(614) 208-0858
Mailing address
1212 E 19TH AVE, COLUMBUS, OH 43211-2564
(614) 908-6218
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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