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1134521164
BLAKE MASTERS
GAINESVILLE, GA
NPI
1134521164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 007322)
Enumeration Date
2014-09-22
Last Update Date
2014-09-22
Business Address
-- BLAKE MASTERS AAc
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-532-7179
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Mailing Address
-- BLAKE MASTERS AAc
PO BOX 1076
GAINESVILLE, GA 30503-1076
Phone number: 770-532-7179
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