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1245297845
CHRISTOPHER ALLEN BLAKE
FARMINGTON, CT
NPI
1245297845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
-- CHRISTOPHER ALLEN BLAKE ATC
UCHC; MARB BUILDING 263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-6161
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Mailing Address
-- CHRISTOPHER ALLEN BLAKE ATC
78 TROLLEY CROSSING LN
MIDDLETOWN, CT 06457-5845
Phone number: 860-632-8741
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