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1609426261
JOHANNAH BLAKE
TUCSON, AZ
NPI
1609426261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 229492)
Enumeration Date
2019-09-16
Last Update Date
2025-01-17
Business Address
Ms. JOHANNAH BLAKE PMHNP-BC
5650 E 22ND ST
TUCSON, AZ 85711-5525
Phone number: 520-372-8575
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Mailing Address
Ms. JOHANNAH BLAKE PMHNP-BC
975 N SILVERBELL RD UNIT 85194
TUCSON, AZ 85754-4009
Phone number: 520-861-4414
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