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1073970992
BLAKE W SQUIRE
SAINT PETERSBURG, FL
NPI
1073970992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH 11779)
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
-- BLAKE W SQUIRE D.C.
5105 CENTRAL AVE
SAINT PETERSBURG, FL 33710-8140
Phone number: 727-698-6088
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Mailing Address
-- BLAKE W SQUIRE D.C.
PO BOX 735
PARRISH, FL 34219-0735
Phone number: 407-369-0394
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