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1811564842
CAMERON BLAKE
DAMARISCOTTA, ME
NPI
1811564842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA2212)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-06-08
Last Update Date
2021-09-14
Business Address
CAMERON BLAKE
35 MILES ST
DAMARISCOTTA, ME 04543-4047
Phone number: 207-563-1234
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Mailing Address
CAMERON BLAKE
4 MILLS RD PMB 103
NEWCASTLE, ME 04553
Phone number:
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