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1780681023
NATHAN THOMAS BLAKE
MINNEAPOLIS, MN
NPI
1780681023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MN 118039-8)
Enumeration Date
2005-07-01
Last Update Date
2011-04-04
Business Address
DR. NATHAN THOMAS BLAKE PHARM. D.
2500 E LAKE ST
MINNEAPOLIS, MN 55406-1909
Phone number: 612-721-1611
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Mailing Address
DR. NATHAN THOMAS BLAKE PHARM. D.
2021 145TH AVE NE
HAM LAKE, MN 55304-6240
Phone number: 612-483-6781
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