RICHARD GARY BLAKE

WOODLAND HILLS, CA
NPI1174650071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CA  D006638)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
Mr. RICHARD GARY BLAKE R.D.O.
21835 VENTURA BLVD
WOODLAND HILLS, CA 91364-1838
Phone number: 818-883-9567
Mailing Address
Mr. RICHARD GARY BLAKE R.D.O.
1086 DEEP WOOD DR
WESTLAKE VILLAGE, CA 91362-4215
Phone number: 805-495-4046
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