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1164780177
MARY L. BLAKE
CHARLOTTE, NC
NPI
1164780177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5005601)
Enumeration Date
2012-04-26
Last Update Date
2024-10-04
Business Address
MARY L. BLAKE ANP-C
2936 CALDWELL RIDGE PKWY
CHARLOTTE, NC 28213-5888
Phone number: 704-578-8041
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Mailing Address
MARY L. BLAKE ANP-C
2936 CALDWELL RIDGE PKWY
CHARLOTTE, NC 28213-5888
Phone number: 704-578-8041
Copy
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