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1174012553
JEANNE MARIE BLAKE
NAPLES, FL
NPI
1174012553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA23109)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
JEANNE MARIE BLAKE
999 TRAIL TERRACE DR
NAPLES, FL 34103-2329
Phone number: 239-649-2222
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Mailing Address
JEANNE MARIE BLAKE
6631 EASTWOOD ACRES RD
FORT MYERS, FL 33905-6111
Phone number: 239-738-6972
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