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1811919939
JESSICA BLAKE OWSLEY
STATEN ISLAND, NY
NPI
1811919939
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Former Name
JESSICA CATHERINE BLAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 90652)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- JESSICA BLAKE OWSLEY FNP
1361 HYLAN BLVD
STATEN ISLAND, NY 10305-1978
Phone number: 866-389-2727
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Mailing Address
-- JESSICA BLAKE OWSLEY FNP
673 MICHAW ST
LANCASTER, SC 29720-3599
Phone number: 904-583-9972
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