MICHAEL BLAKE

FARGO, ND
NPI1154894434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ND  1187)
Enumeration Date2019-01-09
Last Update Date2020-05-12
Business Address
MICHAEL BLAKE MS, RD, LRD
2400 32ND AVE S
FARGO, ND 58103-5800
Phone number: 701-234-2245
Mailing Address
MICHAEL BLAKE MS, RD, LRD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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