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1013217231
MICHAEL BLAKE
KNOXVILLE, TN
NPI
1013217231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
-- MICHAEL BLAKE B.S.
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
-- MICHAEL BLAKE B.S.
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number:
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