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1720134810
BLAKE MASSEY
REDDING, CA
NPI
1720134810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA15490)
Enumeration Date
2007-01-25
Last Update Date
2012-03-02
Business Address
-- BLAKE MASSEY P.A.
3330 CHURN CREEK RD SUITE D4
REDDING, CA 96002-2532
Phone number: 530-222-3287
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Mailing Address
-- BLAKE MASSEY P.A.
PO BOX 496084
REDDING, CA 96049-6084
Phone number: 530-222-3287
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