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1417194358
BLAKE ALEXIS SELBY
SAN DIEGO, CA
NPI
1417194358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP18112)
Enumeration Date
2009-01-14
Last Update Date
2019-11-07
Business Address
Ms. BLAKE ALEXIS SELBY CPNP
200 W ARBOR DR
SAN DIEGO, CA 92103
Phone number: 800-926-8273
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Mailing Address
Ms. BLAKE ALEXIS SELBY CPNP
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 800-926-8273
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