BENJAMIN BLAKE

PARSONS, KS
NPI1053806539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   15-02102)
Enumeration Date2018-06-26
Last Update Date2018-06-26
Business Address
BENJAMIN BLAKE PA-C
1902 S US HIGHWAY 59
PARSONS, KS 67357-4948
Phone number: 620-421-0881
Mailing Address
BENJAMIN BLAKE PA-C
625 RILEY ST
INDEPENDENCE, KS 67301-2444
Phone number: 620-515-3905
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