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1023164365
BLAKE WADE BERMAN
LA MIRADA, CA
NPI
1023164365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: CA 20A8839)
Enumeration Date
2007-01-27
Last Update Date
2020-04-18
Business Address
Dr. BLAKE WADE BERMAN D.O.
16702 VALLEY VIEW AVE
LA MIRADA, CA 90638-5824
Phone number: 143-675-3907
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Mailing Address
Dr. BLAKE WADE BERMAN D.O.
16702 VALLEY VIEW AVE
LA MIRADA, CA 90638-5824
Phone number: 714-367-5390
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