SHAUN ROLAND BLAKE

ENCINITAS, CA
NPI1255619490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  38074)
Enumeration Date2011-07-21
Last Update Date2011-07-21
Business Address
-- SHAUN ROLAND BLAKE DPT
332 SANTA FE DR STE 120
ENCINITAS, CA 92024-5143
Phone number: 760-942-4400
Mailing Address
-- SHAUN ROLAND BLAKE DPT
332 SANTA FE DR STE 120
ENCINITAS, CA 92024-5143
Phone number: 760-942-4400
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