SHIRLEY R BLAKE

BRISTOL, VA
NPI1467988360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: VA  PGP-127280)
Additional Taxonomies171R00000X Interpreter
405300000X Prevention Professional
(Licence: VA  10,545)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
Ms. SHIRLEY R BLAKE M.S.
24063 HIGHPOINT RD
BRISTOL, VA 24202-4707
Phone number: 276-971-0079
Mailing Address
Ms. SHIRLEY R BLAKE M.S.
24063 HIGHPOINT RD
BRISTOL, VA 24202-4707
Phone number: 276-971-0079
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