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1316147721
MISTY RENE' HORN-BLAKE
JOHNSON CITY, TN
NPI
1316147721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN 8728)
Enumeration Date
2007-07-23
Last Update Date
2008-01-09
Business Address
Dr. MISTY RENE' HORN-BLAKE D.D.S.
1301 SUNSET DR SUITE 6
JOHNSON CITY, TN 37604-7906
Phone number: 423-283-8830
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Mailing Address
Dr. MISTY RENE' HORN-BLAKE D.D.S.
1301 SUNSET DR SUITE 6
JOHNSON CITY, TN 37604-7906
Phone number: 423-283-8830
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