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1063409639
RUSSELL R BLAKELEY
SANDPOINT, ID
NPI
1063409639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: TN 16299)
Enumeration Date
2005-09-29
Last Update Date
2016-01-27
Business Address
DR. RUSSELL R BLAKELEY M.D.
606 N THIRD AVE SUITE 203
SANDPOINT, ID 83864-1594
Phone number: 208-263-8505
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Mailing Address
DR. RUSSELL R BLAKELEY M.D.
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-652-5250
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