ANDREA BLAKE

USAF ACADEMY, CO
NPI1952551871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CO  DR0052469)
Enumeration Date2008-09-28
Last Update Date2013-11-21
Business Address
-- ANDREA BLAKE DO
4102 PINION DR GENERAL SURGERY
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5140
Mailing Address
-- ANDREA BLAKE DO
4102 PINION DR GENERAL SURGERY
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5140
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