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1487390282
AMANDA BLAKE
OAKLAND, CA
NPI
1487390282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-05
Last Update Date
2024-04-03
Business Address
Dr. AMANDA BLAKE MD
747 52ND ST STE 245
OAKLAND, CA 94609-1809
Phone number: 510-428-3331
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Mailing Address
Dr. AMANDA BLAKE MD
747 52ND ST STE 245
OAKLAND, CA 94609-1809
Phone number: 510-428-3331
Copy
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