Individual
SARGINE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17301 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1807
(866) 389-2727
Mailing address
17301 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1807
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020030795
MO
Other
Enumeration date
09/21/2020
Last updated
09/17/2024
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