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1407240435
JILL BLAKE
UNIVERSITY PARK, PA
NPI
1407240435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN255327L)
Enumeration Date
2015-03-27
Last Update Date
2015-03-27
Business Address
-- JILL BLAKE LPN
502 STUDENT HEALTH CTR
UNIVERSITY PARK, PA 16802-2129
Phone number: 814-865-6555
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Mailing Address
-- JILL BLAKE LPN
502 STUDENT HEALTH CENTER PENN STATE UNIVERSITY
UNIVERSITY PARK, PA 16802
Phone number: 814-865-6555
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