NATHAN ALLEN BLAKE

CONCORD, NC
NPI1548681828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  191944)
Enumeration Date2014-01-03
Last Update Date2017-12-29
Business Address
Mr. NATHAN ALLEN BLAKE CRNA
920 CHURCH ST N
CONCORD, NC 28025-2927
Phone number: 704-403-4235
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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