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1417719220
STELLA BLAKE
TAMPA, FL
NPI
1417719220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11027225)
Enumeration Date
2024-01-26
Last Update Date
2024-03-07
Business Address
STELLA BLAKE APRN
12952 N DALE MABRY HWY
TAMPA, FL 33618-2806
Phone number: 813-968-4300
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Mailing Address
STELLA BLAKE APRN
202 S PARKER ST UNIT 645
TAMPA, FL 33606-2598
Phone number: 813-476-5541
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