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1023022324
DONALD GARY HEACOCK
GLEN BURNIE, MD
NPI
1023022324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 15332)
Enumeration Date
2006-07-29
Last Update Date
2020-05-07
Business Address
Mr. DONALD GARY HEACOCK P.T.
7310 RITCHIE HWY SUITE 500
GLEN BURNIE, MD 21061-3065
Phone number: 410-766-4435
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Mailing Address
Mr. DONALD GARY HEACOCK P.T.
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714
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