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Individual

MS. DAWN ELAINE BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
9301 HIGHWAY 119, ALABASTER, AL 35007-5366
(205) 664-4584
Mailing address
660 FLAG CIR, HOOVER, AL 35226-4919
(205) 789-6785

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13579
AL
183500000X
Pharmacist
262
TN
183500000X
Pharmacist
6258
AR

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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