CHARLES EDWARD BLAKE

GLENDALE, AZ
NPI1972666154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP2395)
Enumeration Date2006-12-18
Last Update Date2024-05-09
Business Address
Mr. CHARLES EDWARD BLAKE FNP-BC
17215 N 72ND DR BLDG D
GLENDALE, AZ 85308-8558
Phone number: 480-214-9000
Mailing Address
Mr. CHARLES EDWARD BLAKE FNP-BC
2051 W CHANDLER BLVD STE 5
CHANDLER, AZ 85224-6239
Phone number: 480-214-9000
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