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1194777136
GEORGE BLAINE LAKE
VISALIA, CA
NPI
1194777136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA g86776)
Enumeration Date
2006-05-17
Last Update Date
2013-09-27
Business Address
-- GEORGE BLAINE LAKE M.D.
100 WILLOW PLZ 201
VISALIA, CA 93291-6206
Phone number: 559-627-9284
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Mailing Address
-- GEORGE BLAINE LAKE M.D.
100 WILLOW PLZ 201
VISALIA, CA 93291-6206
Phone number: 559-627-9284
Copy
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