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SUSAN BLAKE RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1447663737

Individual Registrant:
 SUSAN  BLAKE RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
550 E WASHINGTON BLVD  CRESCENT CITY, CA 95531-8160 US
Tel: 707-465-6925  Fax: 707-465-6070

Contact information for business:
670 9TH ST SUITE 203 ARCATA, CA 95521-6248 US
Tel: 707-826-8633  Fax: 707-826-8638

Registration Information:
NPI: 1447663737
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CA282404

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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