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1174637748
ANDREA BLAKE
DES MOINES, IA
NPI
1174637748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MD R162244)
Enumeration Date
2006-08-19
Last Update Date
2008-09-05
Business Address
-- ANDREA BLAKE ARNP
1111 6TH AVE EAST TOWER SUITE A100
DES MOINES, IA 50314-2610
Phone number: 515-358-0011
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Mailing Address
-- ANDREA BLAKE ARNP
PO BOX 1475
DES MOINES, IA 50306-1475
Phone number: 515-643-4973
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