C BLAKE AASGAARD

DECATUR, GA
NPI1447234869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  02963)
Enumeration Date2005-11-30
Last Update Date2007-07-08
Business Address
-- C BLAKE AASGAARD PA
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
-- C BLAKE AASGAARD PA
1597 LANCASTER DR
MARIETTA, GA 30066-5915
Phone number: 770-218-9195
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