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1225205230
MICHAEL SCOTT BLAKE
LEWISTON, ME
NPI
1225205230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ME 018419)
Enumeration Date
2008-05-09
Last Update Date
2010-11-15
Business Address
-- MICHAEL SCOTT BLAKE MD, MPH
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-2641
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Mailing Address
-- MICHAEL SCOTT BLAKE MD, MPH
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-2641
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