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1386872323
MICHELLE LYNNE BLAKE
MONROE, LA
NPI
1386872323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA GETP.LSU-IM)
Enumeration Date
2009-06-29
Last Update Date
2021-01-14
Business Address
Dr. MICHELLE LYNNE BLAKE M.D.
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-966-4541
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Mailing Address
Dr. MICHELLE LYNNE BLAKE M.D.
1978 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number:
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