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1447234869
C BLAKE AASGAARD
DECATUR, GA
NPI
1447234869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 02963)
Enumeration Date
2005-11-30
Last Update Date
2007-07-08
Business Address
-- C BLAKE AASGAARD PA
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- C BLAKE AASGAARD PA
1597 LANCASTER DR
MARIETTA, GA 30066-5915
Phone number: 770-218-9195
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