JAMES BLAKE

PHILADELPHIA, PA
NPI1336621093
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
JAMES BLAKE
2126 N 18TH ST
PHILADELPHIA, PA 19121-1623
Phone number: 443-610-0176
Mailing Address
JAMES BLAKE
5629 SAGRA RD
BALTIMORE, MD 21239-2825
Phone number: 443-610-0176
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