PENNY BLAKE

HENDERSON, TX
NPI1215489935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP132551)
Enumeration Date2016-10-28
Last Update Date2024-08-07
Business Address
PENNY BLAKE APRN
1600 US HIGHWAY 79 S
HENDERSON, TX 75654-4508
Phone number: 903-717-3260
Mailing Address
PENNY BLAKE APRN
PO BOX 1022
WAYNESBORO, TN 38485-1022
Phone number: 931-722-2369
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