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1457070195
AMANDA B BLAKE
WINCHESTER, VA
NPI
1457070195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002079726)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
AMANDA B BLAKE
333 W CORK ST
WINCHESTER, VA 22601-3870
Phone number: 540-536-5200
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Mailing Address
AMANDA B BLAKE
333 W CORK ST
WINCHESTER, VA 22601-3870
Phone number: 540-536-5200
Copy
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