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1740655653
MELISSA BETH BLAKE
CARLSBAD, CA
NPI
1740655653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53050)
Enumeration Date
2015-12-02
Last Update Date
2018-07-06
Business Address
Ms. MELISSA BETH BLAKE PA-C
2176 SALK AVE
CARLSBAD, CA 92008
Phone number: 760-901-5100
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Mailing Address
Ms. MELISSA BETH BLAKE PA-C
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 760-901-5100
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