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1548825789
DAYNA BLAKE
FORT MOHAVE, AZ
NPI
1548825789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ 225438)
Enumeration Date
2019-05-02
Last Update Date
2022-07-06
Business Address
Mrs. DAYNA BLAKE FNP- BC
1611 E JOY LN STE 1
FORT MOHAVE, AZ 86426-8807
Phone number: 928-768-9496
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Mailing Address
Mrs. DAYNA BLAKE FNP- BC
PO BOX 10837
FORT MOHAVE, AZ 86427-0837
Phone number: 928-201-8289
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