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1407211329
CANAAN BLAKE
DURHAM, NC
NPI
1407211329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 280433)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
-- CANAAN BLAKE FNP
2511 OLD CORNWALLIS RD SUITE 200
DURHAM, NC 27713-1869
Phone number: 919-932-5700
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Mailing Address
-- CANAAN BLAKE FNP
2511 OLD CORNWALLIS RD SUITE 200
DURHAM, NC 27713-1869
Phone number: 919-932-5700
Copy
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