MR. Charles Bartlett Blake, RN

NPI #1043224272 in Nixa, Missouri

Provider Information

NPI Number
1043224272
Entity Type
Individual
Name
MR. Charles Bartlett Blake, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jul 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
208 N 36TH ST
City
Nixa
ZIP Code
65714-7560
Phone
(417) 343-4202

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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