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1669052114
BOBBIE BLAKE
GREENVILLE, SC
NPI
1669052114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
BOBBIE BLAKE
890 W FARIS RD
GREENVILLE, SC 29605-4253
Phone number: 864-455-7887
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Mailing Address
BOBBIE BLAKE
890 W FARIS RD
GREENVILLE, SC 29605-4253
Phone number:
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