KIMBERLY THORNTON BLAKE

SANFORD, FL
NPI1295030195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9105774)
Enumeration Date2011-01-24
Last Update Date2011-01-24
Business Address
-- KIMBERLY THORNTON BLAKE PA
1401 W SEMINOLE BLVD
SANFORD, FL 32771-6743
Phone number: 800-893-9698
Mailing Address
-- KIMBERLY THORNTON BLAKE PA
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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