CHARLES BLAKE, RN

RN

Registered Nurse

NPI: 1043224272Individual

Specialties, Licenses & Credentials

Registered NursePrimary

Registered Nurse

Code: 163W00000X

088073(MO)

Contact & Hours

Address: 208 N 36TH ST
NIXA, MO 65714
Phone: (417) 343-4202

Quick Facts

NPI: 1043224272
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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