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1992360630
CHERYL NADINE BLAKE
LAKE CHARLES, LA
NPI
1992360630
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Other Name
CHERYL CALLAHAN BLAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 203900)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
CHERYL NADINE BLAKE NP
707 E PRIEN LAKE RD STE A
LAKE CHARLES, LA 70601-8788
Phone number: 337-475-3200
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Mailing Address
CHERYL NADINE BLAKE NP
3560 W CABELLA DR
SULPHUR, LA 70665-8774
Phone number: 337-244-4622
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