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1104986231
GWEN S. FASSBENDER
MOBILE, AL
NPI
1104986231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL pth416)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Mrs. GWEN S. FASSBENDER PT
67 E MIDTOWN PARK
MOBILE, AL 36606-4141
Phone number: 251-476-1279
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Mailing Address
Mrs. GWEN S. FASSBENDER PT
2755 BENNINGTON DR
MOBILE, AL 36695-2559
Phone number: 251-634-9658
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