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1033173000
WILBUR LEW BLACKMAN
CARROLLTON, GA
NPI
1033173000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 006344)
Enumeration Date
2006-04-14
Last Update Date
2007-07-09
Business Address
-- WILBUR LEW BLACKMAN MPT
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
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Mailing Address
-- WILBUR LEW BLACKMAN MPT
812 S PARK ST
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
Copy
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