Department of State
Board of Medicine
DOUGLAS ROBERT BLAKE
Medical Physician And Surgeon
License number
MD015528E
Date granted
07/26/1974
Date expires
12/31/1996
Class
Medical Physician And Surgeon
Status
Inactive
Address
PROVIDENCE RI 02903
medicinepa.com
ID 37584909
LAST UPDATED 2024-05-04 19:13:28 UTC
LAST UPDATED 2024-05-04 19:13:28 UTC
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