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1548681828
NATHAN ALLEN BLAKE
CONCORD, NC
NPI
1548681828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 191944)
Enumeration Date
2014-01-03
Last Update Date
2017-12-29
Business Address
Mr. NATHAN ALLEN BLAKE CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-403-4235
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Mailing Address
Mr. NATHAN ALLEN BLAKE CRNA
5025 AIRPORT CENTER PKWY BLDG L
CHARLOTTE, NC 28208-5885
Phone number: 704-512-7105
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