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1588014732
LISA BLAKE
SOMERVILLE, MA
NPI
1588014732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MA RN2274030)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
LISA BLAKE
230 HIGHLAND AVE
SOMERVILLE, MA 02143-1408
Phone number: 617-591-4500
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Mailing Address
LISA BLAKE
58 SALMAN ST
WEST ROXBURY, MA 02132-5711
Phone number:
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