JASON BLAKE

CLEVELAND, OH
NPI1083267348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.024969)
Enumeration Date2019-07-16
Last Update Date2019-07-16
Business Address
JASON BLAKE PMHMP-BC
10701 EAST BLVD
CLEVELAND, OH 44106-1702
Phone number: 216-791-3800
Mailing Address
JASON BLAKE PMHMP-BC
10701 EAST BLVD
CLEVELAND, OH 44106-1702
Phone number: 216-791-3800
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