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Jordan Blake
NPI 1467840645 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1700 Lakeside Dr
Garner, NC 27529 - Phone
- (919) 612-5856
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Sex
- Female
- Record last updated
- 2014-12-23
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 North Carolina