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1669600615
CAROL BLAKE
BRONX, NY
NPI
1669600615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 001435-1)
Enumeration Date
2009-06-29
Last Update Date
2009-06-29
Business Address
Ms. CAROL BLAKE P.A., R.N., M.P.H
111 E 210TH ST NW7, MEDICINE
BRONX, NY 10467-2401
Phone number: 718-920-7441
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Mailing Address
Ms. CAROL BLAKE P.A., R.N., M.P.H
111 E 210TH ST NW7, MEDICINE
BRONX, NY 10467-2401
Phone number: 718-920-7441
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