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1841804960
CLAUDETTE L BLAKE
MOUNTAINSIDE, NJ
NPI
1841804960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01050200)
Enumeration Date
2020-09-04
Last Update Date
2024-02-20
Business Address
Mrs. CLAUDETTE L BLAKE APRN
1199 ROUTE 22
MOUNTAINSIDE, NJ 07092-2807
Phone number: 908-228-5100
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Mailing Address
Mrs. CLAUDETTE L BLAKE APRN
1199 ROUTE 22
MOUNTAINSIDE, NJ 07092-2807
Phone number: 908-228-5100
Copy
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