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1902002066
DENISE M BLAKE
SAN DIEGO, CA
NPI
1902002066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 6562)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
DENISE M BLAKE L.AC.
1407 2ND AVE
SAN DIEGO, CA 92101-3012
Phone number: 619-232-6220
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Mailing Address
DENISE M BLAKE L.AC.
1407 2ND AVE
SAN DIEGO, CA 92101-3012
Phone number: 619-232-6220
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