AMY MICHELLE BLAKE

POMEROY, OH
NPI1821200270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT001239)
Enumeration Date2007-05-05
Last Update Date2007-07-08
Business Address
Mrs. AMY MICHELLE BLAKE ATC
37770 STATE ROUTE 124
POMEROY, OH 45769-9302
Phone number: 740-992-0840
Mailing Address
Mrs. AMY MICHELLE BLAKE ATC
37770 STATE ROUTE 124
POMEROY, OH 45769-9302
Phone number: 740-992-0840
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