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1558051102
KATHERINE BLAKE
OAKLAND, CA
NPI
1558051102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 701997)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
KATHERINE BLAKE LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
KATHERINE BLAKE LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Copy
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