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1568473312
PATRICIA BLAKE
PALM BAY, FL
NPI
1568473312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN15937)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- PATRICIA BLAKE DDS
1421 MALABAR RD NE SUITE 240
PALM BAY, FL 32907-2576
Phone number: 321-722-8440
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Mailing Address
-- PATRICIA BLAKE DDS
1694 W HIBISCUS BLVD SUITE A
MELBOURNE, FL 32901-2636
Phone number:
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