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1861510570
JOHN L. BLAKE
LONG BEACH, CA
NPI
1861510570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 36731)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. JOHN L. BLAKE D.D.S.
455 E COLUMBIA ST
LONG BEACH, CA 90806-1620
Phone number: 562-933-8929
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Mailing Address
Dr. JOHN L. BLAKE D.D.S.
4556 EAST COLUMBIA ST.
LONG BEACH, CA 90806
Phone number: 562-933-8929
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