SALLY S BLAKE

ORANGEBURG, SC
NPI1750432985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  710)
Enumeration Date2007-01-15
Last Update Date2019-02-11
Business Address
SALLY S BLAKE FNP-C
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118
Phone number: 803-536-1571
Mailing Address
SALLY S BLAKE FNP-C
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-2042
Phone number: 803-536-1571
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