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1306360177
DESMOND EUGENE BLAKE
HOUSTON, TX
NPI
1306360177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2017-08-02
Last Update Date
2017-08-07
Business Address
Mr. DESMOND EUGENE BLAKE
3201 FONDREN RD
HOUSTON, TX 77063
Phone number: 832-594-5758
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Mailing Address
Mr. DESMOND EUGENE BLAKE
3201 FONDREN RD
HOUSTON, TX 77063
Phone number:
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