Individual
BLAKE MENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2707 HENRY ST, GREENSBORO, NC 27405-3669
(336) 375-2301
Mailing address
1509 FAIRMONT ST, GREENSBORO, NC 27403-1203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0195
NC
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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