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NPI 1649934902

IndividualActive

Blayze Harter

NPI 1649934902 · Peer Specialist · Vinita, OK

Provider details

NPI number: 1649934902
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

405 E Excelsior Ave

Vinita, OK 74301-4226

Phone: (918) 256-6476

More OK providers

Mailing address

405 E Excelsior Ave

Vinita, OK 74301-4226

Registry dates

Enumerated: 2021-10-23
Last updated: 2021-10-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Blayze Harter — NPI 1649934902, Vinita, OK | NPI Central