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1225371776
BLAKE LAWRENCE SOLOMON
PHOENIX, AZ
NPI
1225371776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ AP4830)
Enumeration Date
2013-04-03
Last Update Date
2022-06-22
Business Address
MR. BLAKE LAWRENCE SOLOMON PMHNP-BC
3227 E BELL RD
PHOENIX, AZ 85032-2700
Phone number: 602-374-7439
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Mailing Address
MR. BLAKE LAWRENCE SOLOMON PMHNP-BC
15066 W POST DR
SURPRISE, AZ 85374-1429
Phone number: 602-614-2135
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