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1003835539
HERBERT ALDEN BLAKE
TACOMA, WA
NPI
1003835539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 953)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. HERBERT ALDEN BLAKE OD
OPTOMETRY CLINIC MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431-0001
Phone number: 253-968-2790
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Mailing Address
Dr. HERBERT ALDEN BLAKE OD
12914 130TH AVENUE CT E
PUYALLUP, WA 98374-4825
Phone number: 253-840-0780
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