Individual
MRS. JULIE ANN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.S.
Contact information
Practice address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
Mailing address
31 LAKE ST, GARDNER, MA 01440-3879
(978) 632-4432
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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