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1003864802
KENT ALAN BLADE
SAN DIEGO, CA
NPI
1003864802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: PA MD 417456)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- KENT ALAN BLADE M.D.
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6702
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Mailing Address
-- KENT ALAN BLADE M.D.
5979 SEACREST VIEW RD
SAN DIEGO, CA 92121-4355
Phone number: 619-532-6702
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