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Individual

LOREN BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
213 WINDING POND RD, LONDONDERRY, NH 03053-3378
(603) 490-7107
Mailing address
213 WINDING POND RD, LONDONDERRY, NH 03053-3378

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
284393
NY

Other

Enumeration date
06/06/2014
Last updated
10/19/2016
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