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1902180326
REBECCA L BLAKE
TROY, NY
NPI
1902180326
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Former Name
REBECCA L CHAUVIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015016)
Enumeration Date
2011-10-04
Last Update Date
2019-07-03
Business Address
Ms. REBECCA L BLAKE RPA-C
258 HOOSICK ST
TROY, NY 12180-2444
Phone number: 518-272-0232
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Mailing Address
Ms. REBECCA L BLAKE RPA-C
711 TROY SCHENECTADY RD STE 203
LATHAM, NY 12110-2461
Phone number: 518-782-3700
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