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1831637545
GISELA BLAKE
MOORESVILLE, NC
NPI
1831637545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC F0117020)
Enumeration Date
2017-02-02
Last Update Date
2018-04-13
Business Address
GISELA BLAKE
112 ARGUS LN STE A
MOORESVILLE, NC 28117-9270
Phone number: 336-406-9207
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Mailing Address
GISELA BLAKE
112 ARGUS LN STE A
MOORESVILLE, NC 28117-9270
Phone number: 336-406-9207
Copy
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