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1326341553
VINCENT BLAKE
COMMERCE, CA
NPI
1326341553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-12-09
Last Update Date
2010-12-09
Business Address
VINCENT BLAKE
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
VINCENT BLAKE
835 1/2 W 124TH ST
LOS ANGELES, CA 90044-3860
Phone number: 323-346-0960
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