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1285375071
BLAKE WADE CHRISTENSEN
KENNEWICK, WA
NPI
1285375071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
BLAKE WADE CHRISTENSEN DO
320 W 10TH AVE STE 202
KENNEWICK, WA 99336-6302
Phone number: 509-221-5520
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Mailing Address
BLAKE WADE CHRISTENSEN DO
20 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2058
Phone number: 208-390-1082
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