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1336658707
LATOYA BLAKE
PORTLAND, TN
NPI
1336658707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
LATOYA BLAKE
104 ELISE LN
PORTLAND, TN 37148-2200
Phone number: 615-440-0127
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Mailing Address
LATOYA BLAKE
104 ELISE LN
PORTLAND, TN 37148-2200
Phone number: 615-440-0127
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