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Individual

TIMOTHY BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
343 ELM ST, SUITE 204, RENO, NV 89503-4522
(775) 329-7017
(775) 323-0749
Mailing address
343 ELM ST, SUITE 204, RENO, NV 89503-4522
(775) 329-7017
(775) 323-0749

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
283
NV

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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