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1730655499
MICHELLE VICTORIA BLAKE
SAN ANTONIO, TX
NPI
1730655499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1280810)
Enumeration Date
2018-10-21
Last Update Date
2018-10-21
Business Address
Dr. MICHELLE VICTORIA BLAKE
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-393-1958
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Mailing Address
Dr. MICHELLE VICTORIA BLAKE
8814 MAINLAND BLF
SAN ANTONIO, TX 78250-6024
Phone number: 210-393-1958
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