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Individual

BLAKE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1965 BIRKMONT DR, RANCHO CORDOVA, CA 95742-6407
(916) 294-9000
Mailing address
1965 BIRKMONT DR, RANCHO CORDOVA, CA 95742-6407

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
CA
171M00000X
Case Manager/Care Coordinator
CA

Other

Enumeration date
03/17/2026
Last updated
03/17/2026
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