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1578645800
ELIZABETH A. BLAKE
OMAHA, NE
NPI
1578645800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NE 110293)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- ELIZABETH A. BLAKE APRN-C
4101 WOOLWORTH AVE
OMAHA, NE 68105-1850
Phone number: 402-346-8800
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Mailing Address
-- ELIZABETH A. BLAKE APRN-C
657 N 58TH ST
OMAHA, NE 68132-2001
Phone number: 402-556-3180
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