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1972052157
MELISSA BLAKE
HASTINGS, NE
NPI
1972052157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
-- MELISSA BLAKE
1924 W A ST
HASTINGS, NE 68901-5650
Phone number: 402-461-7578
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Mailing Address
-- MELISSA BLAKE
2324 W 11TH ST
GRAND ISLAND, NE 68803-3622
Phone number: 308-384-0317
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