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1942487673
KELLY ANN BLAKE
ALLENTOWN, PA
NPI
1942487673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0003708)
Enumeration Date
2008-01-24
Last Update Date
2023-02-16
Business Address
Mrs. KELLY ANN BLAKE PA-C
410 N KROCKS RD
ALLENTOWN, PA 18106-9283
Phone number: 888-982-8594
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Mailing Address
Mrs. KELLY ANN BLAKE PA-C
PO BOX 159
BARRINGTON, NJ 08007-0159
Phone number:
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