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Individual

BLAKE HARE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9817 NANTICOKE CIR, SEAFORD, DE 19973-8643
(302) 542-7232
Mailing address
9817 NANTICOKE CIR, SEAFORD, DE 19973-8643

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000943
DE

Other

Enumeration date
01/08/2017
Last updated
01/08/2017
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