THOMAS LEE BLAKE

CERRITOS, CA
NPI1063597847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  op4626t)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
Dr. THOMAS LEE BLAKE O.D.
11847 SOUTH ST
CERRITOS, CA 90703-6825
Phone number: 562-865-6119
Mailing Address
Dr. THOMAS LEE BLAKE O.D.
11847 SOUTH ST
CERRITOS, CA 90703-6825
Phone number: 562-865-6119
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