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Robert Blaker
Student in an Organized Health Care Education/Training Program in Boaz, Alabama
NPI 1659766533

Robert Blaker is a Student in an Organized Health Care Education/Training Program based in Boaz, AL. Robert Blaker practices in Boaz, AL. The NPI Number for Robert Blaker is 1659766533 and holds a License No. S10709 (Alabama).

The current practice location address for Robert Blaker is 68 Hudson Dr, Boaz, AL and can be reached out via phone at 256-558-6589.

Location: 68 Hudson Dr, Boaz, AL, 35956-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659766533
Provider Name
Robert Blaker
Credential
Provider Entity Type
Individual
Gender
Male
Address
68 Hudson Dr, Boaz, AL, 35956-3522
Phone Number
256-558-6589
Fax Number
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
68 Hudson Dr
City
Boaz
State
Alabama
Zip
35956-3522
Phone Number
256-558-6589
Fax Number
person
Provider Business Mailing Address Details
Address
68 Hudson Dr
City
Boaz
State
Alabama
Zip
35956-3522
Phone Number
256-558-6589
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S10709 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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