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1871550855
PAUL S BLAKE
CHARLOTTE, NC
NPI
1871550855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NC 97-01697)
Enumeration Date
2006-04-26
Last Update Date
2023-07-06
Business Address
Dr. PAUL S BLAKE DO
3033 EASTWAY DR STE 201
CHARLOTTE, NC 28205-6387
Phone number: 704-731-6451
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Mailing Address
Dr. PAUL S BLAKE DO
PO BOX 37938
CHARLOTTE, NC 28237-7938
Phone number: 704-332-0396
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