Blake Montana Bigeagle
Blake Montana Bigeagle is a Peer Specialist in Vinita, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
405 E Excelsior AveVinita, OK 74301-4226
Phone: (918) 559-9957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1073226817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2022 |
| Last updated in NPPES | December 26, 2022 |
| Certification date | December 26, 2022 |
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