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1225899602
ANDREW BLAKE
SALT LAKE CITY, UT
NPI
1225899602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 12379664-4102)
Enumeration Date
2024-01-22
Last Update Date
2024-02-14
Business Address
ANDREW BLAKE CCC-SLP
1200 E 3900 S
SALT LAKE CITY, UT 84124-1300
Phone number: 801-293-6800
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Mailing Address
ANDREW BLAKE CCC-SLP
2170 S MCCLELLAND ST APT 320
SALT LAKE CITY, UT 84106-1018
Phone number: 208-891-1856
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