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1760559645
OSBOURNE A. BLAKE
LOS ANGELES, CA
NPI
1760559645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A62083)
Enumeration Date
2006-11-29
Last Update Date
2021-11-22
Business Address
OSBOURNE A. BLAKE MD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
OSBOURNE A. BLAKE MD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
Copy
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