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1770125338
ERICA BLAKE
PORTSMOUTH, OH
NPI
1770125338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 172380)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
ERICA BLAKE
901 WASHINGTON ST
PORTSMOUTH, OH 45662-3944
Phone number: 740-354-7702
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Mailing Address
ERICA BLAKE
239 MILLER LN
GARRISON, KY 41141-8465
Phone number:
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