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1386962603
ANDREW BLAKELY
DUARTE, CA
NPI
1386962603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A147398)
Additional Taxonomies
208600000X Surgery
(Licence: RI LP01881)
Enumeration Date
2010-05-11
Last Update Date
2022-07-21
Business Address
-- ANDREW BLAKELY M.D.
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 626-256-4673
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Mailing Address
-- ANDREW BLAKELY M.D.
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number: 626-775-3514
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