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1114704012
LAKEYSHAN BLAISE
CAMBRIDGE, MA
NPI
1114704012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MA 2324543)
Enumeration Date
2023-09-13
Last Update Date
2023-09-20
Business Address
LAKEYSHAN BLAISE RN
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139-1047
Phone number: 617-665-1000
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Mailing Address
LAKEYSHAN BLAISE RN
112 LOWELL ST APT 15
PEABODY, MA 01960-4286
Phone number: 857-417-6584
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