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Carli Blake
NPI 1578192761 · on the registry since 2020
Practice
- Address
- 6077 W Brush Fork Dr
West Jordan, UT 84081 - Phone
- (801) 694-6510
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah