SAL BLAKE

OWENSBORO, KY
NPI1962981084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KY  TC733)
Enumeration Date2018-08-09
Last Update Date2019-05-14
Business Address
SAL BLAKE PA-C
2211 MAYFAIR DR STE 102
OWENSBORO, KY 42301
Phone number: 270-688-1351
Mailing Address
SAL BLAKE PA-C
PO BOX 23229
OWENSBORO, KY 42304-3229
Phone number: 270-688-1330
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