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1790528768
MICHAELA GRACE THANH BLAKE
HILLSBORO, OR
NPI
1790528768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
MICHAELA GRACE THANH BLAKE PA-S
705 SE BASELINE ST
HILLSBORO, OR 97123-4244
Phone number: 503-357-6151
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Mailing Address
MICHAELA GRACE THANH BLAKE PA-S
6571 NE CHERRY DR APT 2216
HILLSBORO, OR 97124-7731
Phone number: 415-320-3249
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