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1356543490
KHASHANA A BLAKE
WINSTON SALEM, NC
NPI
1356543490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2009-01511)
Enumeration Date
2007-06-01
Last Update Date
2019-10-15
Business Address
Dr. KHASHANA A BLAKE MD
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106
Phone number: 336-251-1114
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Mailing Address
Dr. KHASHANA A BLAKE MD
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114
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