Individual
SARAH JO BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
2958 PHEASANT DR, CASPER, WY 82604-4305
(307) 277-3781
Mailing address
2958 PHEASANT DR, CASPER, WY 82604-4305
(307) 277-3781
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
25099
WY
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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