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Shawny Blake, BCHIS

NPI 1013142207 · on the registry since 2009 · sole proprietor

Practice

Address
913b Saint Francis St
Kennett, MO 63857
Phone
(573) 888-9881

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri