CHANTAILLE BLAKE

NEWARK, NJ
NPI1457632051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NJ  28RI03003400)
Enumeration Date2011-09-09
Last Update Date2011-09-09
Business Address
-- CHANTAILLE BLAKE
361 BERGEN ST
NEWARK, NJ 07103-2201
Phone number: 973-622-3021
Mailing Address
-- CHANTAILLE BLAKE
361 BERGEN ST
NEWARK, NJ 07103-2201
Phone number:
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