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1255356960
SISSELA S BLAKE
SAN DIEGO, CA
NPI
1255356960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA A101062)
Enumeration Date
2006-07-13
Last Update Date
2016-05-04
Business Address
-- SISSELA S BLAKE M.D.
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
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Mailing Address
-- SISSELA S BLAKE M.D.
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
Copy
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