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1073133385
DUSTIN BLAKE HENDRICK
LEBANON, PA
NPI
1073133385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: PA PT028190)
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
DUSTIN BLAKE HENDRICK DPT
590 S 5TH AVE
LEBANON, PA 17042-9195
Phone number: 717-274-0421
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Mailing Address
DUSTIN BLAKE HENDRICK DPT
701 READING AVE APT 412
WEST READING, PA 19611-1284
Phone number: 434-774-6720
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