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1104892637
CHARLES BLAKE
FORT CAMPBELL, KY
NPI
1104892637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: TN 420820)
Enumeration Date
2006-02-24
Last Update Date
2007-07-08
Business Address
Mr. CHARLES BLAKE PT
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE
FORT CAMPBELL, KY 42223-5349
Phone number: 270-798-8372
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Mailing Address
Mr. CHARLES BLAKE PT
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE
FORT CAMPBELL, KY 42223-5349
Phone number: 270-798-8372
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