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1972794212
ROBERT E BLAKE
SAN DIEGO, CA
NPI
1972794212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Mr. ROBERT E BLAKE
3969 4TH AVE STE 203
SAN DIEGO, CA 92103-3165
Phone number: 619-692-0441
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Mailing Address
Mr. ROBERT E BLAKE
3969 4TH AVE STE 203
SAN DIEGO, CA 92103-3165
Phone number: 619-692-0441
Copy
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