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1245284207
GWENDOLYN BELISLE
EUFAULA, AL
NPI
1245284207
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Former Name
WENDI VANHOUGHTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH4666)
Enumeration Date
2006-05-22
Last Update Date
2007-07-08
Business Address
Mrs. GWENDOLYN BELISLE MSPT
825 W WASHINGTON ST
EUFAULA, AL 36027-1847
Phone number: 334-688-7155
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Mailing Address
Mrs. GWENDOLYN BELISLE MSPT
PO BOX 241686
MONTGOMERY, AL 36124-1686
Phone number: 334-396-2115
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