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Individual

ABIGAIL M BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
111923-23
NH
363LA2200X
Adult Health Nurse Practitioner
EL31332
NH
363LA2200X
Adult Health Nurse Practitioner
F311792
NY

Other

Enumeration date
07/20/2024
Last updated
12/09/2025
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