Individual
CYNTHIA GAIL BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 LEDO RD, ALBANY, GA 31707-1363
(229) 883-6432
(229) 883-9795
Mailing address
2825 LEDO RD, ALBANY, GA 31707-1363
(229) 883-6432
(229) 883-9795
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO0001691
GA
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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