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1770538977
PAMELA J BLAKE
BIRMINGHAM, AL
NPI
1770538977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AL 1054391)
Enumeration Date
2006-05-24
Last Update Date
2012-07-30
Business Address
-- PAMELA J BLAKE CRNP
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-6600
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Mailing Address
-- PAMELA J BLAKE CRNP
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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