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1902355803
IRENE BLAKE
LAUREL, MD
NPI
1902355803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: DC RN1009199)
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- IRENE BLAKE
8211 RAMBLING ROSE LN
LAUREL, MD 20724-1964
Phone number: 240-505-2473
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Mailing Address
-- IRENE BLAKE
8211 RAMBLING ROSE LN
LAUREL, MD 20724-1964
Phone number: 240-505-2473
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