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1104493089
BLAKE CHARLES MANN
DOVER, DE
NPI
1104493089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0014376)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
Mr. BLAKE CHARLES MANN PT, DPT
1255 S STATE ST STE 7
DOVER, DE 19901-6932
Phone number: 302-734-0100
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Mailing Address
Mr. BLAKE CHARLES MANN PT, DPT
114 S SPINNAKER LN
MILTON, DE 19968-1538
Phone number: 302-500-2294
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