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1740001965
AMANDA BLAKE
OCALA, FL
NPI
1740001965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11036092)
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
AMANDA BLAKE PMHNP
2775 NW 49TH AVE UNIT 205
OCALA, FL 34482-6213
Phone number: 480-868-0228
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Mailing Address
AMANDA BLAKE PMHNP
2775 NW 49TH AVE UNIT 205
OCALA, FL 34482-6213
Phone number: 480-868-0228
Copy
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