ISRAEL DENNARD BLAKE

THOMASVILLE, GA
NPI1598500605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374K00000X 
Additional Taxonomies101YP1600X Counselor, Pastoral
Enumeration Date2024-06-28
Last Update Date2024-06-28
Business Address
Mr. ISRAEL DENNARD BLAKE
228 AUGUSTA AVE
THOMASVILLE, GA 31792-7003
Phone number: 229-228-7775
Mailing Address
Mr. ISRAEL DENNARD BLAKE
PO BOX 2763
THOMASVILLE, GA 31799-2763
Phone number: 229-228-7775