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1740913631
SARDIA BLAKE
MOUNT VERNON, NY
NPI
1740913631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
(Licence: NY X3Z3C7D4)
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
SARDIA BLAKE PCT
55 SHERIDAN AVE
MOUNT VERNON, NY 10552-2541
Phone number: 914-704-7505
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Mailing Address
SARDIA BLAKE PCT
630 GRAMATAN AVE APT GRM2
MOUNT VERNON, NY 10552-1830
Phone number:
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