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1831886225
ROSS BLAKE
CHARLOTTE, NC
NPI
1831886225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P18532)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
ROSS BLAKE DPT
9115 HARRIS CORNERS PKWY STE 230
CHARLOTTE, NC 28269-3709
Phone number: 336-689-0338
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Mailing Address
ROSS BLAKE DPT
6925 WALNUT BRANCH LN
CHARLOTTE, NC 28277-8940
Phone number:
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