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1275068298
SHERRY BLAKE
FAIRFIELD, CA
NPI
1275068298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN150915)
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
-- SHERRY BLAKE
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-428-1131
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Mailing Address
-- SHERRY BLAKE
2101 COURAGE DR
FAIRFIELD, CA 94533
Phone number: 707-428-1131
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