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1689928582
HALEY ELISE BLAKE
SIMPSONVILLE, SC
NPI
1689928582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18023)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
Mrs. HALEY ELISE BLAKE FNP-BC
1836 W GEORGIA RD
SIMPSONVILLE, SC 29680-7212
Phone number: 864-675-1700
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Mailing Address
Mrs. HALEY ELISE BLAKE FNP-BC
1836 W GEORGIA RD
SIMPSONVILLE, SC 29680-7212
Phone number: 864-675-1700
Copy
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