KENNETH LEON BLAKE

JACKSONVILLE, FL
NPI1093678864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-12-08
Last Update Date2025-12-11
Business Address
Ms. KENNETH LEON BLAKE BS
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-7797
Mailing Address
Ms. KENNETH LEON BLAKE BS
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number:
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