Mr. Blake Vicent Ireland
Mr. Blake Vicent Ireland is a Student in an Organized Health Care Education/Training Program in Northfield, Vermont. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
158 Harmon DrNorthfield, VT 05663-1000
Phone: (203) 565-1815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1154844504 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2017 |
| Last updated in NPPES | July 18, 2017 |
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